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Contact Information

STACEY L BOURLAND, PhD
919A W 25TH ST
HOUSTON, TX77008
 Phone: 713-858-9753
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for STACEY L BOURLAND · (Female)

NPI Number 1659381267
Status Active
Credentials PhD
Entity Individual
Enumeration date 08/08/2006
Last updated 12/14/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 31096
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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