Provider Demographics
NPI:1477572782
Name:POLLARD, SUSAN G (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUSAN
Middle Name:G
Last Name:POLLARD
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 1:1420 STONEHOLLOW DR STE C
Mailing Address - Street 2:
Mailing Address - City:KINGWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77339-2494
Mailing Address - Country:US
Mailing Address - Phone:281-570-8227
Mailing Address - Fax:832-408-7662
Practice Address - Street 1:1420 STONEHOLLOW DR STE C
Practice Address - Street 2:
Practice Address - City:KINGWOOD
Practice Address - State:TX
Practice Address - Zip Code:77339-2494
Practice Address - Country:US
Practice Address - Phone:281-570-8227
Practice Address - Fax:832-408-7662
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32229103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX86127AOtherBLUE CROSS BLUE SHEILD
TX86127AOtherBLUE CROSS BLUE SHEILD
TX86127AOtherBLUE CROSS BLUE SHEILD