Provider Demographics
NPI:1942691688
Name:NEUHART, LISA
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:
Last Name:NEUHART
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 HERMANN MUSEUM CIRCLE DR
Mailing Address - Street 2:# 3116
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77004-7788
Mailing Address - Country:US
Mailing Address - Phone:713-444-2529
Mailing Address - Fax:
Practice Address - Street 1:4100 WESTHEIMER RD STE 233
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77027-4439
Practice Address - Country:US
Practice Address - Phone:713-444-2529
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-02-17
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202325106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist