Healthcare Provider Details

I. General information

NPI: 1205297918
Provider Name (Legal Business Name): HEATHER L PARTON PHD PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2016
Last Update Date: 01/23/2023
Certification Date: 01/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8800 VILLAGE DR
SAN ANTONIO TX
78217-5412
US

IV. Provider business mailing address

66 MAPLE BRANCH ST
THE WOODLANDS TX
77380-1864
US

V. Phone/Fax

Practice location:
  • Phone: 210-202-0100
  • Fax:
Mailing address:
  • Phone: 210-557-5150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number36731
License Number StateTX

VIII. Authorized Official

Name: DR. HEATHER PARTON
Title or Position: OWNER
Credential: PHD
Phone: 210-557-5150