Provider Demographics
NPI:1235216987
Name:CADENHEAD, LYLE REYNOLDS (PHD)
Entity Type:Individual
Prefix:DR
First Name:LYLE
Middle Name:REYNOLDS
Last Name:CADENHEAD
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 1:3711 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2827
Mailing Address - Country:US
Mailing Address - Phone:713-256-3157
Mailing Address - Fax:713-666-6722
Practice Address - Street 1:2715 BISSONNET ST
Practice Address - Street 2:SUITE 507
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-1340
Practice Address - Country:US
Practice Address - Phone:713-256-3157
Practice Address - Fax:713-666-6722
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32274103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist