Provider Demographics
NPI:1659481463
Name:RABON, DOROTHY WALTER (LCSW-BCD)
Entity Type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:WALTER
Last Name:RABON
Suffix:
Gender:F
Credentials:LCSW-BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 441352
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77244-1352
Mailing Address - Country:US
Mailing Address - Phone:281-799-9555
Mailing Address - Fax:281-493-5918
Practice Address - Street 1:9950 CYPRESSWOOD DR
Practice Address - Street 2:SUITE 160
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-3414
Practice Address - Country:US
Practice Address - Phone:281-799-9555
Practice Address - Fax:281-493-5918
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXS194611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX0S53UMedicare ID - Type Unspecified