Provider Demographics
NPI:1790870111
Name:CLAY, SANDY KATHERINE (MA, LPC, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:SANDY
Middle Name:KATHERINE
Last Name:CLAY
Suffix:
Gender:F
Credentials:MA, LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9219 KATY FREEWAY
Mailing Address - Street 2:SUITE 296
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024
Mailing Address - Country:US
Mailing Address - Phone:713-464-8501
Mailing Address - Fax:
Practice Address - Street 1:9219 KATY FREEWAY
Practice Address - Street 2:SUITE 296
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-464-8501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX9200101YP2500X
TX002204-042808106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2278LCOtherBCBS PROVIDER #