Provider Demographics
NPI:1922643691
Name:BUFFINGTON, CARMEN SPLAND (PSYD, LSSP, HSP)
Entity Type:Individual
Prefix:
First Name:CARMEN
Middle Name:SPLAND
Last Name:BUFFINGTON
Suffix:
Gender:F
Credentials:PSYD, LSSP, HSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1530 GREENSMARK DR UNIT 672302
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77067-4019
Mailing Address - Country:US
Mailing Address - Phone:346-888-7386
Mailing Address - Fax:
Practice Address - Street 1:17030 NANES DR STE 201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77090-2504
Practice Address - Country:US
Practice Address - Phone:281-415-1280
Practice Address - Fax:281-271-8927
Is Sole Proprietor?:Yes
Enumeration Date:2019-11-16
Last Update Date:2021-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37903103TH0100X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service