Provider Demographics
NPI:1912538745
Name:THERAPY AND PSYCHOLOGY SERVICES OF THE WOODLANDS, PLLC
Entity Type:Organization
Organization Name:THERAPY AND PSYCHOLOGY SERVICES OF THE WOODLANDS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:832-728-9398
Mailing Address - Street 1:2203 TIMBERLOCH PL STE 100
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1103
Mailing Address - Country:US
Mailing Address - Phone:832-728-9398
Mailing Address - Fax:
Practice Address - Street 1:2203 TIMBERLOCH PL STE 100
Practice Address - Street 2:
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1103
Practice Address - Country:US
Practice Address - Phone:832-728-9398
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-30
Last Update Date:2020-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty