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NPI Code Detail

MEDICARE: DR. LAURA COLLAZOS SPILLER PH. D.

MEDICARE:  DR. LAURA COLLAZOS SPILLER  PH. D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist31563TX

General Provider Information

NPI Number : 1053498329
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LAURA COLLAZOS SPILLER PH. D.
Provider Business Mailing Address
First Line : 1225 NORTH LOOP W STE 935
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1763
Country : US
Telephone Number : 940-567-1046
Fax Number :
Provider Business Practice Location Address
First Line : 1225 NORTH LOOP W STE 935
Second Line :
City : HOUSTON
State : TX
Zip : 77008-1763
Country : US
Telephone Number : 940-567-1046
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 05/23/2025

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Directions to “ DR. LAURA COLLAZOS SPILLER PH. D.” Practice Location

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