Provider Demographics
NPI:1790272375
Name:ARZU, LA SHAUN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LA SHAUN
Middle Name:
Last Name:ARZU
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:LA SHAUN
Other - Middle Name:
Other - Last Name:TURNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:3115 IVY MILL LN
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-6550
Mailing Address - Country:US
Mailing Address - Phone:832-788-9481
Mailing Address - Fax:713-272-8601
Practice Address - Street 1:3115 IVY MILL LN
Practice Address - Street 2:
Practice Address - City:MISSOURI CITY
Practice Address - State:TX
Practice Address - Zip Code:77459-6550
Practice Address - Country:US
Practice Address - Phone:832-788-9481
Practice Address - Fax:713-272-8601
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX25586103TC0700X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103T00000XBehavioral Health & Social Service ProvidersPsychologist