Provider Demographics
NPI:1962831800
Name:ARENIVAS, ANA (PHD)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:
Last Name:ARENIVAS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2150 W. 18TH STREET
Mailing Address - Street 2:#300
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77008
Mailing Address - Country:US
Mailing Address - Phone:713-426-0027
Mailing Address - Fax:713-526-1422
Practice Address - Street 1:902 FROSTWOOD DR
Practice Address - Street 2:#142
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024
Practice Address - Country:US
Practice Address - Phone:713-827-8266
Practice Address - Fax:713-827-0132
Is Sole Proprietor?:No
Enumeration Date:2013-11-01
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05245103G00000X
103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist