MEDICARE: HATTI GUSKE LMFT

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
1	106H00000X	Marriage & Family Therapist	200955	TX

General Provider Information

NPI Number	:	1427226190
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HATTI GUSKE LMFT

Provider Business Mailing Address
First Line	:	4950 MEMORIAL DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77007-7440
Country	:	US
Telephone Number	:	713-730-2335
Fax Number	:

Provider Business Practice Location Address
First Line	:	1253 DU BARRY LN
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-5237
Country	:	US
Telephone Number	:	832-444-3133
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/15/2008
Last Update Date	:	02/15/2008

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