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Organization

DR. JANNIS MOODY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JANNIS FAYE MOODY PHD (OWNER)
(323) 691-9273
Entity
Organization

Contact information

Practice address
11250 WEST RD STE E, HOUSTON, TX 77065-4439
(323) 691-9273
Mailing address
21114 TWILA SPRINGS DR, HOUSTON, TX 77095-2452
(323) 691-9273

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
06/05/2021
Last updated
06/05/2021
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