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Organization

GROWTH PSYCHOLOGY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BRIAN THOMAS KLINE LP (OWNER)
(716) 395-9605
Entity
Organization

Contact information

Practice address
702 CLEVELAND ST APT 2304, HOUSTON, TX 77019-5254
(716) 395-9605
Mailing address
702 CLEVELAND ST APT 2304, HOUSTON, TX 77019-5254
(716) 395-9605

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
39108
PSYCHOLOGIST LICENSE
TX
Enumeration date
06/03/2024
Last updated
02/02/2025
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