Summerlin, Mary Lue
Summerlin, Mary Lue is an sole proprietor health care provider with primary practice located at 1525 Lakeville Dr , Kingwood TX 77339-2067. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Summerlin, Mary Lue can be contacted via phone (281) 743-7712.Contact Information
Primary practice address
1525 Lakeville Dr
Kingwood TX 77339-2067
Phone: (281) 743-7712
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X |
Profile Details
| NPI number | 1609925924 |
|---|---|
| LBN Legal business name | Summerlin, Mary Lue |
| Credentials | ED. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609925924 | NPPES |
| Texas | Other | 00U70X | BCBS |
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