MEDICARE: KRISTINA CLEVINGER, PHD, PLLC

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

General Provider Information

NPI Number	:	1700733888
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KRISTINA CLEVINGER, PHD, PLLC

Provider Business Mailing Address
First Line	:	17625 EL CAMINO REAL STE 225F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3052
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17625 EL CAMINO REAL STE 225F
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-3052
Country	:	US
Telephone Number	:	832-225-8599
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. KRISTINA CLEVINGER
Credential	:	PHD
Telephone Number	:	832-225-8599

Provider Enumeration Date	:	03/16/2026
Last Update Date	:	03/16/2026

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