Healthcare Provider Details

I. General information

NPI: 1447379557
Provider Name (Legal Business Name): LAURA KURTAS ESKRIDGE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/28/2007
Last Update Date: 09/08/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4950 MEMORIAL DR DEPELCHIN CHILDREN'S CENTER
HOUSTON TX
77007-7440
US

IV. Provider business mailing address

21603 SATIN CLOVER CT
MAGNOLIA TX
77355-3900
US

V. Phone/Fax

Practice location:
  • Phone: 713-802-3800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number31710
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number33095
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: