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General NPI Number Information
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NPI Number | 1649584673
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Entity Type | Organization
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Legal Business Name | LAURA M. VAN VELDHOVEN, PH.D., PLLC
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Dates
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Enumeration Date | 08/02/2010
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Last Update Date | 10/13/2010
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Provider Practice Location Address
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Address Line | 2900 WESLAYAN ST SUITE 485
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City | HOUSTON
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State | TX
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Zip | 77027-5132
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Country | US
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Telephone | 713-623-1145
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Fax |
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Provider Business Mailing Address
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Address Line | 2900 WESLAYAN ST SUITE 485
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City | HOUSTON
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State | TX
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Zip | 77027-5132
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Country | US
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Telephone | 713-623-1145
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. LAURA MARIE VAN VELDHOVEN
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Credential | PH.D.,
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Telephone | 713-623-1145
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33949
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License Number State | TX
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