Provider Demographics
NPI:1417053299
Name:MUEHE, AUDREY IRENE (PHD)
Entity Type:Individual
Prefix:DR
First Name:AUDREY
Middle Name:IRENE
Last Name:MUEHE
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 1:6565 WEST LOOP SOUTH
Mailing Address - Street 2:STE 600
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3504
Mailing Address - Country:US
Mailing Address - Phone:713-628-6500
Mailing Address - Fax:713-660-0621
Practice Address - Street 1:6565 WEST LOOP SOUTH
Practice Address - Street 2:STE 600
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3504
Practice Address - Country:US
Practice Address - Phone:713-628-6500
Practice Address - Fax:713-660-0621
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX30930103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
00561XMedicare ID - Type Unspecified