Individual
DR. STACIE CRAFT DEFREITAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LP, PH.D.
Contact information
Practice address
128 VISION PARK BLVD STE 230, SHENANDOAH, TX 77384-3018
(832) 346-8082
Mailing address
1714 BIG HORN DR, HOUSTON, TX 77090-1865
(281) 979-8249
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35210
TX
103TS0200X
School Psychologist
70244
TX
Other
Enumeration date
01/06/2009
Last updated
09/05/2024
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