Provider Demographics
NPI:1992044267
Name:SNOW, ALICIA CARLEEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:CARLEEN
Last Name:SNOW
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 1:823 VILLAGE SQUARE DR
Mailing Address - Street 2:SUITE 5
Mailing Address - City:TOMBALL
Mailing Address - State:TX
Mailing Address - Zip Code:77375-4431
Mailing Address - Country:US
Mailing Address - Phone:713-240-8609
Mailing Address - Fax:866-828-3876
Practice Address - Street 1:823 VILLAGE SQUARE DR
Practice Address - Street 2:SUITE 5
Practice Address - City:TOMBALL
Practice Address - State:TX
Practice Address - Zip Code:77375-4431
Practice Address - Country:US
Practice Address - Phone:713-240-8609
Practice Address - Fax:866-828-3876
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-06
Last Update Date:2013-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15548103TA0700X, 103TB0200X, 103TC0700X, 103TC2200X, 103TF0000X, 103TH0004X, 103TM1800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TA0700XBehavioral Health & Social Service ProvidersPsychologistAdult Development & Aging
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamily
No103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth
No103TM1800XBehavioral Health & Social Service ProvidersPsychologistIntellectual & Developmental Disabilities
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist