Provider Demographics
NPI:1942757414
Name:WEST HOUSTON PSYCHOLOGY, PLLC
Entity Type:Organization
Organization Name:WEST HOUSTON PSYCHOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:DEMBY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:281-815-0094
Mailing Address - Street 1:535 E FERNHURST DR # 108
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-1431
Mailing Address - Country:US
Mailing Address - Phone:281-815-0094
Mailing Address - Fax:
Practice Address - Street 1:535 E FERNHURST DR # 108
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450
Practice Address - Country:US
Practice Address - Phone:281-815-0094
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-01
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX37197103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty