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General NPI Number Information
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NPI Number | 1922898907
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Entity Type | Individual
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Provider Name | TITUS MOTEN PHD
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Gender | Male
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 17820 MOUND RD STE B
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City | CYPRESS
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State | TX
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Zip | 77433-4903
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Country | US
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Telephone | 651-505-3273
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Fax |
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Provider Business Mailing Address
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Address Line | 825 USENER ST APT 541
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City | HOUSTON
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State | TX
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Zip | 77009-7456
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Country | US
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Telephone | 832-898-6743
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 40848
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 72931
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 40848
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License Number State | TX
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