Provider Information for 1477093995
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MYOUNG SHIN HILSON PSYCHOTHERAPY
Organization Subpart: YES
NPI: 1477093995
Last Updated: 2017-03-02
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1477093995 | ||||||||
| Enumeration Date | 2017-03-02 | ||||||||
| NPI Type | NPI-2 Organization | ||||||||
| Status | Active | ||||||||
| Authorized Official Information | Name: MYOUNG SHIN HILSON LPC Title: Therapist Phone: 2816362052 | ||||||||
| Mailing Address | 4215 MANORDALE DR PASADENA, TX 77505-4424 United States Phone: 281-998-0986 | Fax: | ||||||||
| Primary Practice Address | 1100 NASA PKWY STE 101 HOUSTON, TX 77058-3325 United States Phone: 832-930-2381 | Fax: | ||||||||
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