Individual
DR. SHILPA B. TRIVEDI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1415 NORTH LOOP W STE 616, HOUSTON, TX 77008-2278
(281) 451-8112
(855) 271-3371
Mailing address
3919 R V MAYFIELD DR, HOUSTON, TX 77088-5648
(281) 451-8112
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36163
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096012206
—
TX
05
—
096012208
—
TX
01
—
TXB165656
MEDICARE PTAN
TX
Enumeration date
08/30/2006
Last updated
05/12/2020
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