Organization
WILLOWBROOK PSYCHOLOGICAL ASSOCIATES, PC
Active
Organization
WILLOWBROOK PSYCHOLOGICAL ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD ALLISON CHARLESWORTH PHD (CLINICAL DIRECTOR)
(281) 890-8575
Entity
Organization
Contact information
Practice address
10609 GRANT RD, BUILDING B, HOUSTON, TX 77070
(281) 469-6395
Mailing address
11407 HYLANDER DR, HOUSTON, TX 77070-1339
(281) 469-6395
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
12110
TX
101YM0800X
Mental Health Counselor
12110
TX
103G00000X
Clinical Neuropsychologist
2-2200
TX
103T00000X
Psychologist
2-2200
TX
103TB0200X
Cognitive & Behavioral Psychologist
2-2200
TX
103TC0700X
Clinical Psychologist
Primary
2-2200
TX
103TC2200X
Clinical Child & Adolescent Psychologist
2-2200
TX
103TE1100X
Exercise & Sports Psychologist
2-2200
TX
103TF0000X
Family Psychologist
2-2200
TX
103TF0200X
Forensic Psychologist
2-2200
TX
103TH0004X
Health Psychologist
2-2200
TX
103TH0100X
Health Service Psychologist
2-2200
TX
103TP2701X
Group Psychotherapy Psychologist
2-2200
TX
103TR0400X
Rehabilitation Psychologist
2-2200
TX
Other
Enumeration date
04/17/2007
Last updated
04/17/2014
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