Provider Demographics
NPI:1700162922
Name:PAM CONYNE LAHAM PHD & ASSOCIATES
Entity Type:Organization
Organization Name:PAM CONYNE LAHAM PHD & ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:LAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:713-975-6459
Mailing Address - Street 1:2500 TANGLEWILDE ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77063-2100
Mailing Address - Country:US
Mailing Address - Phone:713-975-6459
Mailing Address - Fax:888-414-8035
Practice Address - Street 1:2500 TANGLEWILDE ST
Practice Address - Street 2:SUITE 310
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77063-2100
Practice Address - Country:US
Practice Address - Phone:713-975-6459
Practice Address - Fax:888-414-8035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-02
Last Update Date:2012-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-4676103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1801021498OtherNPI - INDIVIDUAL