Provider Demographics
NPI:1043783426
Name:EDINGER, DAVID SKEETZ (MS, LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SKEETZ
Last Name:EDINGER
Suffix:
Gender:M
Credentials:MS, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13614 MAXWELL RD
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:TX
Mailing Address - Zip Code:77429-2353
Mailing Address - Country:US
Mailing Address - Phone:832-731-4881
Mailing Address - Fax:
Practice Address - Street 1:1832 SNAKE RIVER RD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449-7741
Practice Address - Country:US
Practice Address - Phone:832-731-4881
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-08
Last Update Date:2019-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX203343106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist