Healthcare Provider Details

I. General information

NPI: 1356392914
Provider Name (Legal Business Name): BARBARA P UZZELL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2006
Last Update Date: 05/28/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20403 UNIVERSITY BLVD SUITE 600
SUGAR LAND TX
77478-4976
US

IV. Provider business mailing address

NEUROPSYCHOLOGY & NEUROREHAB P.0. BOX 841616
PEARLAND TX
77584
US

V. Phone/Fax

Practice location:
  • Phone: 281-265-1776
  • Fax: 281-285-1805
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number2-0873
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: