Individual
AJA THIBODEAUX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SSP, NCSP
Contact information
Practice address
5871 E POST OAK LN, HOUSTON, TX 77055-5055
(985) 860-4504
Mailing address
5871 E POST OAK LN, HOUSTON, TX 77055-5055
(985) 860-4504
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
48857
LA
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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