Organization
REHABILITATION PSYCHOLOGY MANAGEMENT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART J NATHAN PH.D. (PSYCHOLOGIST/OWNER)
(713) 789-7560
Entity
Organization
Contact information
Practice address
2450 FONDREN RD, SUITE 312, HOUSTON, TX 77063-2318
(713) 789-7560
(713) 789-7351
Mailing address
2450 FONDREN RD, SUITE 312, HOUSTON, TX 77063-2318
(713) 789-7560
(713) 789-7351
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
23367
TX
101YM0800X
Mental Health Counselor
23367
TX
101YP2500X
Professional Counselor
23367
TX
103T00000X
Psychologist
23367
TX
103TB0200X
Cognitive & Behavioral Psychologist
23367
TX
103TC0700X
Clinical Psychologist
Primary
23367
TX
103TC1900X
Counseling Psychologist
23367
TX
103TR0400X
Rehabilitation Psychologist
23367
TX
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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