Provider Demographics
NPI:1376630343
Name:BRAMS, ANDREW (PHD, LSSP)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:
Last Name:BRAMS
Suffix:
Gender:M
Credentials:PHD, LSSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4615 SOUTHWEST FWY
Mailing Address - Street 2:STE 860
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-7143
Mailing Address - Country:US
Mailing Address - Phone:281-557-6546
Mailing Address - Fax:281-764-9461
Practice Address - Street 1:4615 SOUTHWEST FWY
Practice Address - Street 2:STE 860
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-7143
Practice Address - Country:US
Practice Address - Phone:281-557-6546
Practice Address - Fax:281-764-9461
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-09
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31356103TS0200X
TX31355103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX406529Medicaid