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NPI Code Detail

MEDICARE: DR. PETA-GAY CHEN LEDBETTER R.N., LPC, PH.D.

MEDICARE: DR. PETA-GAY CHEN LEDBETTER R.N., LPC, 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
1101YP2500XProfessional Counselor61519TX
2102L00000XPsychoanalyst61519TX
3103K00000XBehavior Analyst61519TX
4106H00000XMarriage & Family Therapist61519TX
5101YM0800XMental Health Counselor61519TX

General Provider Information

NPI Number : 1306089453
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PETA-GAY CHEN LEDBETTER R.N., LPC, PH.D.
Provider Business Mailing Address
First Line : 13810 CHAMPION FOREST DR
Second Line : SUITE 146
City : HOUSTON
State : TX
Zip : 77069-1844
Country : US
Telephone Number : 281-444-9553
Fax Number : 281-444-9554
Provider Business Practice Location Address
First Line : 13810 CHAMPION FOREST DR
Second Line : SUITE 146
City : HOUSTON
State : TX
Zip : 77069-1844
Country : US
Telephone Number : 281-444-9553
Fax Number : 281-444-9554
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2009
Last Update Date : 01/14/2025

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