Provider Demographics
NPI:1710267588
Name:DELALOYE, DORENE L (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DORENE
Middle Name:L
Last Name:DELALOYE
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5201 LAUREL ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-3926
Mailing Address - Country:US
Mailing Address - Phone:713-805-4710
Mailing Address - Fax:
Practice Address - Street 1:5201 LAUREL ST
Practice Address - Street 2:
Practice Address - City:BELLAIRE
Practice Address - State:TX
Practice Address - Zip Code:77401-3926
Practice Address - Country:US
Practice Address - Phone:713-805-4710
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-24
Last Update Date:2011-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31708103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical