Individual
JANNIS FAYE MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
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
PSY1000604
DC
Other
Enumeration date
04/01/2020
Last updated
04/01/2020
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