Individual
MISS MARIELLA SELF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
6701 FANNIN ST, HOUSTON, TX 77030-2316
(832) 824-1000
Mailing address
2 GREENWAY PLZ, SUITE 300, HOUSTON, TX 77046-0297
(832) 828-3660
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32967
TX
Other
Enumeration date
09/26/2006
Last updated
07/05/2012
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