Individual
DR. DIANE MARIE BOUDREAUX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
10634 KINGS RIVER DR, ROSHARON, TX 77583-4192
(713) 232-0034
(800) 791-2069
Mailing address
10634 KINGS RIVER DR, ROSHARON, TX 77583-4192
(713) 232-0034
(800) 791-2069
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35073
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3259929
—
TX
Enumeration date
06/07/2010
Last updated
02/12/2026
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