Provider Demographics
NPI:1639672736
Name:HUDDLESTON, CASHUNA (PHD)
Entity Type:Individual
Prefix:DR
First Name:CASHUNA
Middle Name:
Last Name:HUDDLESTON
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 1:5941 SOUTH LOOP E UNIT 203
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77033-1059
Mailing Address - Country:US
Mailing Address - Phone:713-261-3549
Mailing Address - Fax:
Practice Address - Street 1:1770 SAINT JAMES PL STE 206
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77056-3432
Practice Address - Country:US
Practice Address - Phone:713-261-3549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-14
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37836103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist