Provider Demographics
NPI:1710260757
Name:FLATO, CLAUDIA G (PHD)
Entity Type:Individual
Prefix:
First Name:CLAUDIA
Middle Name:G
Last Name:FLATO
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:PO BOX 1004
Mailing Address - Street 2:
Mailing Address - City:SPRING BRANCH
Mailing Address - State:TX
Mailing Address - Zip Code:78070-1004
Mailing Address - Country:US
Mailing Address - Phone:979-574-7410
Mailing Address - Fax:830-438-1813
Practice Address - Street 1:413 NW RIVER RD
Practice Address - Street 2:
Practice Address - City:MARTINDALE
Practice Address - State:TX
Practice Address - Zip Code:78655-3015
Practice Address - Country:US
Practice Address - Phone:979-574-7410
Practice Address - Fax:830-438-1813
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX35181103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist