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Contact Information

WILLOWBROOK PSYCHOLOGICAL ASSOCIATES, PC
10609 GRANT RD
BUILDING B
HOUSTON, TX77070
 Phone: 281-469-6395
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical Child & Adolescent

103TC2200X 62 Psychologist, Clinical
 

Clinical Neuropsychologist

103G00000X
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counselor

101Y00000X
 

Exercise & Sports

103TE1100X 62 Psychologist, Clinical
 

Family

103TF0000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
 

Health

103TH0004X 62 Psychologist, Clinical
 

Health Service

103TH0100X 62 Psychologist, Clinical
 

Mental Health

101YM0800X
 

Psychologist

103T00000X 62 Psychologist, Clinical
 

Rehabilitation

103TR0400X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILLOWBROOK PSYCHOLOGICAL ASSOCIATES, PC

NPI Number 1548486913
LBN Legal business name WILLOWBROOK PSYCHOLOGICAL ASSOCIATES, PC
Authorized official EDWARD CHARLESWORTH - (CLINICAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 04/17/2007
Last updated 04/17/2014 - About 12 years ago
Identifiers
TX License # 12110
TX License # 2-2200
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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