Provider Demographics
NPI:1952487027
Name:GUILFOYLE, EDMUND CLYDE (PHD)
Entity Type:Individual
Prefix:
First Name:EDMUND
Middle Name:CLYDE
Last Name:GUILFOYLE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8203 WILLOW PLACE DR S
Mailing Address - Street 2:SUITE 150
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-5655
Mailing Address - Country:US
Mailing Address - Phone:281-955-6655
Mailing Address - Fax:281-897-0825
Practice Address - Street 1:8203 WILLOW PLACE DR S
Practice Address - Street 2:SUITE 150
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-5655
Practice Address - Country:US
Practice Address - Phone:281-955-6655
Practice Address - Fax:281-897-0825
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4015103TC1900X
TX3-0099103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool