Provider Demographics
NPI:1740238583
Name:VISION PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:VISION PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CURTIS
Authorized Official - Middle Name:E
Authorized Official - Last Name:WILLS
Authorized Official - Suffix:II
Authorized Official - Credentials:EDD
Authorized Official - Phone:409-729-0400
Mailing Address - Street 1:2300 HIGHWAY 365
Mailing Address - Street 2:SUITE 620
Mailing Address - City:NEDERLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77627-6256
Mailing Address - Country:US
Mailing Address - Phone:409-729-0400
Mailing Address - Fax:866-573-8008
Practice Address - Street 1:2300 HIGHWAY 365
Practice Address - Street 2:SUITE 620
Practice Address - City:NEDERLAND
Practice Address - State:TX
Practice Address - Zip Code:77627-6256
Practice Address - Country:US
Practice Address - Phone:409-729-0400
Practice Address - Fax:866-573-8008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-04
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty