Provider Demographics
NPI:1669504486
Name:SENEGAL, MARIE DINARD (LPC EDD)
Entity Type:Individual
Prefix:DR
First Name:MARIE
Middle Name:DINARD
Last Name:SENEGAL
Suffix:
Gender:F
Credentials:LPC EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8331 FURLONG LANE
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77071
Mailing Address - Country:US
Mailing Address - Phone:713-498-8151
Mailing Address - Fax:713-981-6544
Practice Address - Street 1:10103 FONDREN
Practice Address - Street 2:#210
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77096
Practice Address - Country:US
Practice Address - Phone:713-498-8151
Practice Address - Fax:713-981-6544
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11110101YP2500X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist