MARY R PRASAD PH.D.
Clinical Neuropsychologist
Houston, Texas
Provider NPI: 1710922836
Provider Information:MARY R PRASAD PH.D.
Gender: F
Not Sole Proprietor
Practice Location:
6410 FANNIN ST 500 HOUSTON, TX 77030 US
Tel: 832-325-7111 Fax: 713-500-5711
Business Mailing Address:
PO BOX 201088 HOUSTON, TX 77216 US
Tel: 713-500-3500 Fax: 713-500-5484
Entity Type: Individual
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 103G00000X | Behavioral Health & Social Service Providers Clinical Neuropsychologist | TX | 30577 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
164975801 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
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