Provider Demographics
NPI:1982829529
Name:GALVIN, KATHRYN SUE (PHD)
Entity Type:Individual
Prefix:DR
First Name:KATHRYN
Middle Name:SUE
Last Name:GALVIN
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 1:2500 WILCREST DR
Mailing Address - Street 2:SUITE 420
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77042-2752
Mailing Address - Country:US
Mailing Address - Phone:713-977-9070
Mailing Address - Fax:281-463-0446
Practice Address - Street 1:2500 WILCREST DR
Practice Address - Street 2:SUITE 420
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77042-2752
Practice Address - Country:US
Practice Address - Phone:713-977-9070
Practice Address - Fax:281-463-0446
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-3336103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist