Stavinoha, Peter L
Stavinoha, Peter L is an individual health care provider with primary practice located at 1515 Holcombe Blvd , Houston TX 77030-4000. He recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Stavinoha, Peter L can be contacted via phone (713) 792-6161.Contact Information
Primary practice address
1515 Holcombe Blvd
Houston TX 77030-4000
Phone: (713) 792-6161
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 25476 | Texas |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 25476 | Texas |
| Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities | 103TM1800X | 25476 | Texas |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 25476 | Texas |
| Behavioral Health & Social Service Providers / Rehabilitation | 103TR0400X | 25476 | Texas |
Profile Details
| NPI number | 1255499356 |
|---|---|
| LBN Legal business name | Stavinoha, Peter L |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 4th, 2006 |
| Last updated | Aug 18th, 2020 - about 4 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 | 1255499356 | NPPES |
| Texas | MEDICAID | 039133606 | |
| Texas | Other | 039133607 |
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