Individual
JAMES NICHOLAS KUCIEMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
620 LONGMIRE RD, CONROE, TX 77304-1819
(936) 443-9629
(855) 443-9630
Mailing address
620 LONGMIRE RD, CONROE, TX 77304-1819
(936) 443-9629
(855) 443-9630
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
39909
TX
103T00000X
Psychologist
Primary
39909
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
39909
TX
103TA0700X
Adult Development & Aging Psychologist
39909
TX
103TB0200X
Cognitive & Behavioral Psychologist
39909
TX
103TC0700X
Clinical Psychologist
39909
TX
103TC1900X
Counseling Psychologist
39909
TX
103TC2200X
Clinical Child & Adolescent Psychologist
39909
TX
103TE1100X
Exercise & Sports Psychologist
39909
TX
103TF0000X
Family Psychologist
39909
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
39909
TX
103TP2701X
Group Psychotherapy Psychologist
39909
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3770653-01
—
TX
Enumeration date
08/16/2022
Last updated
08/07/2025
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