Provider Information for 1750648119
The following NPI(s) contain information matching your search criteria. Please select the NPI to view all the data associated with the NPI.
Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know
ETHEL MAE RICHARD-PETERSON LCSW
Sex: Female
NPI: 1750648119
Last Updated: 2024-08-05
Certification Date: 2024-08-05
Certification Date: 2024-08-05
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1750648119 | ||||||||||||
| Enumeration Date | 2012-04-23 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | YES | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 1235 LAKE POINTE PKWY STE 104 SUGAR LAND, TX 77478-4077 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Primary Practice Address | 1235 LAKE POINTE PKWY STE 104 SUGAR LAND, TX 77478-4077 United States Phone: 844-824-8775 | Fax: | ||||||||||||
| Secondary Practice Address(es) | |||||||||||||
| Health Information Exchange |
| ||||||||||||
| Other Identifiers |
| ||||||||||||
| Taxonomy |
|