Provider Demographics
NPI:1639301393
Name:VUJANOVIC, ANKA ANNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:ANKA
Middle Name:ANNA
Last Name:VUJANOVIC
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 1:621 ARLINGTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-2621
Mailing Address - Country:US
Mailing Address - Phone:617-794-6422
Mailing Address - Fax:
Practice Address - Street 1:3303 LOUISIANA ST
Practice Address - Street 2:SUITE 260
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-6616
Practice Address - Country:US
Practice Address - Phone:713-742-2284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-14
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36176103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical