Healthcare Provider Details

I. General information

NPI: 1356382477
Provider Name (Legal Business Name): DANA CHRISTINE HARDING PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MISS DANA CHRISTINE SMITH

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 11/06/2020
Certification Date: 11/06/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 GREEN OAK PL STE 191
KINGWOOD TX
77339-2278
US

IV. Provider business mailing address

1521 GREEN OAK PL STE 191
KINGWOOD TX
77339-2278
US

V. Phone/Fax

Practice location:
  • Phone: 346-202-5619
  • Fax: 281-657-9697
Mailing address:
  • Phone: 346-202-5619
  • Fax: 281-657-9697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TP2701X
TaxonomyGroup Psychotherapy Psychologist
License Number32864
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number32864
License Number StateTX
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number32864
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number32864
License Number StateTX
# 5
Primary TaxonomyN
Taxonomy Code103TF0000X
TaxonomyFamily Psychologist
License Number32864
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: