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NPI Code Detail

MEDICARE: MRS. ELIZABETH ANN KLEPPER PSYD

MEDICARE: MRS. ELIZABETH ANN KLEPPER PSYD
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
1103TC0700XClinical Psychologist34466TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
288344AOTHERTXBCBS TX
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
488162AOTHERTXBCBS TX
5P00897705OTHERTXRAIL ROAD MCR

General Provider Information

NPI Number : 1730484379
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELIZABETH ANN KLEPPER PSYD
Provider Business Mailing Address
First Line : 4314 YOAKUM BLVD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-5818
Country : US
Telephone Number : 713-850-0049
Fax Number : 713-627-7302
Provider Business Practice Location Address
First Line : 4635 SOUTHWEST FWY STE 635
Second Line :
City : HOUSTON
State : TX
Zip : 77027-7112
Country : US
Telephone Number : 713-850-0049
Fax Number : 713-627-7302
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2011
Last Update Date : 03/02/2020

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