Provider Demographics
NPI:1235661372
Name:MORUA, WENDY (PHD, LP, LSSP)
Entity Type:Individual
Prefix:DR
First Name:WENDY
Middle Name:
Last Name:MORUA
Suffix:
Gender:F
Credentials:PHD, LP, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2609 SHADYBEND DR
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77581-5315
Mailing Address - Country:US
Mailing Address - Phone:713-530-5859
Mailing Address - Fax:281-816-5526
Practice Address - Street 1:1410 E WINDING WAY DR
Practice Address - Street 2:SUITE E
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4852
Practice Address - Country:US
Practice Address - Phone:281-993-8040
Practice Address - Fax:281-816-5526
Is Sole Proprietor?:No
Enumeration Date:2017-03-29
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37093103T00000X, 103TC1900X, 103TC2200X, 103TF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily