Provider Demographics
NPI:1174794143
Name:HOUSTON, FELICIA (PHD)
Entity type:Individual
Prefix:
First Name:FELICIA
Middle Name:
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:FELICIA
Other - Middle Name:
Other - Last Name:HOUSTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1 PERIMETER PARK S
Mailing Address - Street 2:SUITE 100 NORTH
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35243-2327
Mailing Address - Country:US
Mailing Address - Phone:205-861-0594
Mailing Address - Fax:
Practice Address - Street 1:1 PERIMETER PARK S
Practice Address - Street 2:SUITE 100 N
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35243-2327
Practice Address - Country:US
Practice Address - Phone:205-861-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-18
Last Update Date:2016-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1227103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist