Provider Demographics
NPI:1659516433
Name:OHALETE, FLORENCE ONYINYE
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:ONYINYE
Last Name:OHALETE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14903 ROCK MILL LN
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77498-0952
Mailing Address - Country:US
Mailing Address - Phone:832-964-6169
Mailing Address - Fax:
Practice Address - Street 1:14903 ROCK MILL LN
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77498-0952
Practice Address - Country:US
Practice Address - Phone:832-964-6169
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-09
Last Update Date:2008-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities