Latasha Lavette Allen, PHD

Individual provider Active NPI Clinical Psychologist · Houston, TX

NPI 1831828169 · NPPES record last updated Jun 10, 2022

Key facts

NPI
1831828169
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
39218 (TX)
Practice address
2339 Commerce St Ste 135
Houston, TX 77002-2319
Phone
(432) 698-0141
Fax
(281) 605-6722
NPI assigned
Jun 10, 2022
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
39218TXMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tabula Rasa Psychology, PLLC Clinical Current
since Jun 12, 2022
Accepting new patients

Locations

2339 Commerce St
Ste 135
Houston, TX 77002
Phone (432) 698-0141

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 39218 TX Yes

Addresses

Primary practice location

2339 Commerce St Ste 135
Houston, TX 77002-2319

Mailing address

2339 Commerce St Ste 135
Houston, TX 77002-2319
Phone (432) 698-0141

Other providers in Houston, TX

All providers in Houston, TX · Clinical Psychologist in Texas

Sources for this page

Verify at the official NPI Registry.