MEDICARE: DR. STEVEN CRAIG DEALMEIDA LICENSED PSYCHOLOGIS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	24912	TX

General Provider Information

NPI Number	:	1366562308
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. STEVEN CRAIG DEALMEIDA LICENSED PSYCHOLOGIS

Provider Business Mailing Address
First Line	:	9111 KATY FWY
Second Line	:	SUITE 307
City	:	HOUSTON
State	:	TX
Zip	:	77024-1648
Country	:	US
Telephone Number	:	713-468-2255
Fax Number	:	713-468-2260

Provider Business Practice Location Address
First Line	:	9111 KATY FWY
Second Line	:	SUITE 307
City	:	HOUSTON
State	:	TX
Zip	:	77024-1648
Country	:	US
Telephone Number	:	713-468-2255
Fax Number	:	713-468-2260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/31/2007
Last Update Date	:	07/08/2007

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