Provider Demographics
NPI:1467712760
Name:CONLON PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:CONLON PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CELESTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CONLON
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-944-5588
Mailing Address - Street 1:52 SUGAR CREEK CENTER BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-2206
Mailing Address - Country:US
Mailing Address - Phone:281-944-5588
Mailing Address - Fax:832-939-8293
Practice Address - Street 1:52 SUGAR CREEK CENTER BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-2206
Practice Address - Country:US
Practice Address - Phone:281-944-5588
Practice Address - Fax:832-939-8293
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-21
Last Update Date:2014-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24897103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty