Provider Demographics
NPI:1417135088
Name:ALVAREZ PSYCHOLOGICAL SERVICES, P.C.
Entity Type:Organization
Organization Name:ALVAREZ PSYCHOLOGICAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY
Authorized Official - Middle Name:ALISON
Authorized Official - Last Name:ALVAREZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-482-0801
Mailing Address - Street 1:1506 WINDING WAY DR
Mailing Address - Street 2:STE 210
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-5391
Mailing Address - Country:US
Mailing Address - Phone:281-482-0801
Mailing Address - Fax:281-996-1355
Practice Address - Street 1:1506 WINDING WAY DR
Practice Address - Street 2:STE 210
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-5391
Practice Address - Country:US
Practice Address - Phone:281-482-0801
Practice Address - Fax:281-996-1355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-06
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXTX24491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0314734-01Medicaid
TX94BT3Medicare PIN
TX94BT3Medicare UPIN