Provider Demographics
NPI:1073697744
Name:SPEARS, MATTHEW LEE (LMFT)
Entity Type:Individual
Prefix:
First Name:MATTHEW
Middle Name:LEE
Last Name:SPEARS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11000 RICHMOND AVE
Mailing Address - Street 2:SUITE #330
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-4776
Mailing Address - Country:US
Mailing Address - Phone:713-337-2880
Mailing Address - Fax:713-974-0870
Practice Address - Street 1:11000 RICHMOND AVE
Practice Address - Street 2:SUITE #330
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-4776
Practice Address - Country:US
Practice Address - Phone:713-337-2880
Practice Address - Fax:713-974-0870
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4697106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist