MEDICARE: DR. PAUL JOSEPH CLEAR 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	103TC0700X	Clinical Psychologist	33600	TX

General Provider Information

NPI Number	:	1861676199
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PAUL JOSEPH CLEAR PH.D.

Provider Business Mailing Address
First Line	:	16827 PHEASANT RIDGE DR
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77498-4855
Country	:	US
Telephone Number	:	281-409-6041
Fax Number	:

Provider Business Practice Location Address
First Line	:	11200 WESTHEIMER RD
Second Line	:	SUITE 900
City	:	HOUSTON
State	:	TX
Zip	:	77042-3227
Country	:	US
Telephone Number	:	281-409-6041
Fax Number	:	281-491-4978

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

Provider Enumeration Date	:	12/21/2007
Last Update Date	:	09/17/2012

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