Provider Demographics
NPI:1134161631
Name:HAURI, BECKY ANN (PHD)
Entity type:Individual
Prefix:MS
First Name:BECKY
Middle Name:ANN
Last Name:HAURI
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 1:4236 MILTON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77005-2740
Mailing Address - Country:US
Mailing Address - Phone:713-668-4424
Mailing Address - Fax:713-718-7722
Practice Address - Street 1:4236 MILTON ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-2740
Practice Address - Country:US
Practice Address - Phone:713-668-4424
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-11
Last Update Date:2007-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX24738103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
TXP00186483OtherRAILROAD MEDICARE
TX86686AOtherBLUE CROSS BLUE SHIELD
TX148293701Medicaid
TXP00186483OtherRAILROAD MEDICARE