MEDICARE: DR. MICHELLE MARIE FORRESTER 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
1	103T00000X	Psychologist	25359	TX
2	103TC2200X	Clinical Child & Adolescent Psychologist	25359	TX

General Provider Information

NPI Number	:	1447384458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MICHELLE MARIE FORRESTER PH.D.

Provider Business Mailing Address
First Line	:	9601 KATY FWY
Second Line	:	SUITE 380
City	:	HOUSTON
State	:	TX
Zip	:	77024-1342
Country	:	US
Telephone Number	:	713-598-3559
Fax Number	:	713-461-5889

Provider Business Practice Location Address
First Line	:	9601 KATY FWY
Second Line	:	SUITE 380
City	:	HOUSTON
State	:	TX
Zip	:	77024-1342
Country	:	US
Telephone Number	:	713-598-3559
Fax Number	:	713-461-5889

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	09/11/2025

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