Provider Demographics
NPI:1821185554
Name:CLANSY, CAROLYN DENISE (PHD)
Entity Type:Individual
Prefix:MS
First Name:CAROLYN
Middle Name:DENISE
Last Name:CLANSY
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Gender:F
Credentials:PHD
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Mailing Address - Street 1:8303 SOUTHWEST FWY
Mailing Address - Street 2:SUITE 640
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77074-1600
Mailing Address - Country:US
Mailing Address - Phone:713-777-8633
Mailing Address - Fax:713-777-5259
Practice Address - Street 1:8303 SOUTHWEST FWY
Practice Address - Street 2:SUITE 640
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77074-1600
Practice Address - Country:US
Practice Address - Phone:713-777-8633
Practice Address - Fax:713-777-5259
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2009-01-10
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Provider Licenses
StateLicense IDTaxonomies
TX31246103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist