Provider Demographics
NPI:1184856734
Name:GORTNER, EVA-MARIA (PHD)
Entity Type:Individual
Prefix:DR
First Name:EVA-MARIA
Middle Name:
Last Name:GORTNER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3730 KIRBY DR STE 520
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77098-3930
Mailing Address - Country:US
Mailing Address - Phone:713-364-8328
Mailing Address - Fax:
Practice Address - Street 1:3730 KIRBY DR STE 520
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77098-3930
Practice Address - Country:US
Practice Address - Phone:713-364-8328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-17
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33158103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling