Penn-Benson, Virginia
Penn-Benson, Virginia is an sole proprietor health care provider with primary practice located at 1800 Augusta Dr. Suite 109, Houston TX 77057-3131. She recently has 6 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Family, Behavioral Health & Social Service Providers / Psychoanalysis. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Penn-Benson, Virginia can be contacted via phone (713) 781-1669.Contact Information
Primary practice address
1800 Augusta Dr. Suite 109
Houston TX 77057-3131
Phone: (713) 781-1669
Fax: (713) 781-0442
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 25031 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25031 | Texas |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 25031 | Texas |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 25031 | Texas |
Behavioral Health & Social Service Providers / Family | 103TF0000X | 25031 | Texas |
Behavioral Health & Social Service Providers / Psychoanalysis | 103TP0814X | 25031 | Texas |
Profile Details
NPI number | 1538180047 |
---|---|
LBN Legal business name | Penn-Benson, Virginia |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2006 |
Last updated | Aug 22nd, 2008 - about 16 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538180047 | NPPES |
Texas | MEDICAID | 0360216-01 |
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