Provider Demographics
NPI:1649584673
Name:LAURA M. VAN VELDHOVEN, PH.D., PLLC
Entity Type:Organization
Organization Name:LAURA M. VAN VELDHOVEN, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:VAN VELDHOVEN
Authorized Official - Suffix:
Authorized Official - Credentials:PHD,
Authorized Official - Phone:713-623-1145
Mailing Address - Street 1:2900 WESLAYAN ST
Mailing Address - Street 2:SUITE 485
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77027-5132
Mailing Address - Country:US
Mailing Address - Phone:713-623-1145
Mailing Address - Fax:
Practice Address - Street 1:2900 WESLAYAN ST
Practice Address - Street 2:SUITE 485
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-5132
Practice Address - Country:US
Practice Address - Phone:713-623-1145
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-02
Last Update Date:2010-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX33949103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty