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General NPI Number Information
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NPI Number | 1952979023
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Entity Type | Individual
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Provider Name | KRISTEN RAE WHEELER PSYD
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Gender | Female
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Dates
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Enumeration Date | 06/15/2021
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 7670 WOODWAY DR STE 270
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City | HOUSTON
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State | TX
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Zip | 77063-1598
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Country | US
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Telephone | 832-583-7373
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Fax |
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Provider Business Mailing Address
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Address Line | 1508 RUTLAND ST
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City | HOUSTON
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State | TX
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Zip | 77008-4142
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Country | US
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Telephone |
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 1455
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License Number State | OK
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 40866
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License Number State | TX
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