Boake, Corwin

Boake, Corwin is an individual health care provider with primary practice located at 1333 Moursund St , Houston TX 77030-3405. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Prescribing (Medical). Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Boake, Corwin can be contacted via phone (713) 799-6990.

Contact Information

Primary practice address
1333 Moursund St Houston TX 77030-3405
Phone: (713) 799-6990
Fax: (713) 799-7049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 23147 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 23147 Texas
Behavioral Health & Social Service Providers / Prescribing (Medical) 103TP0016X MP.0661 Louisiana

Profile Details

NPI number 1942349451
LBN Legal business name Boake, Corwin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Mar 30th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942349451 NPPES
Texas MEDICAID 1625642

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