1st Goodspeed Supply Company
Psychologist, Group Psychotherapy in Houston, TX. Organization (NPI-2).
NPI number1659799104
StatusActive
Last updated in NPPESFeb 10, 2015
Details
- NPI
- 1659799104
- Entity type
- Organization (NPI-2)
- Legal business name
- 1st Goodspeed Supply Company
- Organization subpart
- No
- Enumeration date
- Apr 2, 2014
- Last updated
- Feb 10, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP2701X | Psychologist, Group Psychotherapy | – | – | Yes |
Practice location
4709 Ennis StHouston, TX 77004-6131
Phone 210-286-0929
Mailing address
4709 Ennis StHouston, TX 77004-6131
Phone 210-286-0929
Authorized official
Merle Edwards
President
5623345473
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