Individual
CHARLENE D CAID
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2524 NOTTINGHAM ST, HOUSTON, TX 77005-1412
(713) 526-3218
(713) 526-4342
Mailing address
2524 NOTTINGHAM ST, HOUSTON, TX 77005-1412
(713) 526-3218
(713) 526-4342
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2-3428
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D88B
BLUE CROSS BLUE SHIELD
TX
05
—
032714001
—
TX
01
—
044152
VALUE OPTIONS
TX
01
—
10008948
AMERIGROUP
TX
Enumeration date
07/07/2006
Last updated
07/09/2007
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