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Organization

CLEAR LAKE CHILDREN'S CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BECKY SIEKIERSKI PHD, LSSP, NCSP (LICENSED PSYCHOLOGIST)
(281) 407-5658
Entity
Organization

Contact information

Practice address
17100 GLENMOUNT PARK DR STE C, WEBSTER, TX 77598-4368
(281) 407-5658
(281) 407-5631
Mailing address
17100 GLENMOUNT PARK DR STE C, WEBSTER, TX 77598-4368
(281) 407-5658
(281) 407-5631

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
33696
TX

Other

Enumeration date
11/17/2014
Last updated
07/02/2021
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