Provider Demographics
NPI:1013440023
Name:WENDY MORUA, PH.D., PLLC
Entity Type:Organization
Organization Name:WENDY MORUA, PH.D., PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MORUA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, LP,
Authorized Official - Phone:713-530-5859
Mailing Address - Street 1:1410 E WINDING WAY DR STE E
Mailing Address - Street 2:
Mailing Address - City:FRIENDSWOOD
Mailing Address - State:TX
Mailing Address - Zip Code:77546-4852
Mailing Address - Country:US
Mailing Address - Phone:281-993-8040
Mailing Address - Fax:281-816-5526
Practice Address - Street 1:1410 E WINDING WAY DR STE E
Practice Address - Street 2:
Practice Address - City:FRIENDSWOOD
Practice Address - State:TX
Practice Address - Zip Code:77546-4852
Practice Address - Country:US
Practice Address - Phone:281-993-8040
Practice Address - Fax:281-816-5526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Multi-Specialty
No103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No103TF0000XBehavioral Health & Social Service ProvidersPsychologistFamilyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1235661372OtherNPI