Individual
DR. STACEY L BOURLAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
919A W 25TH ST, HOUSTON, TX 77008
(713) 858-9753
Mailing address
919A W 25TH ST, HOUSTON, TX 77008
(713) 858-9753
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31096
TX
Other
Enumeration date
08/08/2006
Last updated
12/14/2021
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