Worthen, Roger Brent

Worthen, Roger Brent is an individual health care provider with primary practice located at 711 S 11Th St , Richmond TX 77469-3361. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Worthen, Roger Brent can be contacted via phone (281) 342-0090.

Contact Information

Primary practice address
711 S 11Th St Richmond TX 77469-3361
Phone: (281) 342-0090
Fax: (281) 341-9388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 21032 Texas
Behavioral Health & Social Service Providers / Mental Retardation & Developmental Disabilities 103TM1800X 21032 Texas
Behavioral Health & Social Service Providers / School 103TS0200X 21032 Texas

Profile Details

NPI number 1669519575
LBN Legal business name Worthen, Roger Brent
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2007
Last updated Jul 9th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669519575 NPPES
Texas Other 86668A BCBS

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