Provider Demographics
NPI:1629945290
Name:LAURA C SPILLER PHD PLLC
Entity type:Organization
Organization Name:LAURA C SPILLER PHD PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:COLLAZOS
Authorized Official - Last Name:SPILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:713-789-4342
Mailing Address - Street 1:1225 NORTH LOOP W STE 935
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008-1763
Mailing Address - Country:US
Mailing Address - Phone:713-789-4342
Mailing Address - Fax:
Practice Address - Street 1:1225 NORTH LOOP W STE 935
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-1763
Practice Address - Country:US
Practice Address - Phone:713-789-4342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty