Provider Demographics
NPI:1588004030
Name:TOOZE, MARYANN M (MA, LPC)
Entity Type:Individual
Prefix:MRS
First Name:MARYANN
Middle Name:M
Last Name:TOOZE
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 MOORSIDE DR
Mailing Address - Street 2:
Mailing Address - City:WINDCREST
Mailing Address - State:TX
Mailing Address - Zip Code:78239-2539
Mailing Address - Country:US
Mailing Address - Phone:210-385-4149
Mailing Address - Fax:
Practice Address - Street 1:617 MOORSIDE DR
Practice Address - Street 2:
Practice Address - City:WINDCREST
Practice Address - State:TX
Practice Address - Zip Code:78239-2539
Practice Address - Country:US
Practice Address - Phone:210-385-4149
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-28
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX58572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health