Provider Demographics
NPI:1083594410
Name:VERNON, CALVIN (PSYD)
Entity type:Individual
Prefix:DR
First Name:CALVIN
Middle Name:
Last Name:VERNON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10685B HAZELHURST DR # 41440
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77043-3238
Mailing Address - Country:US
Mailing Address - Phone:602-390-6758
Mailing Address - Fax:
Practice Address - Street 1:10685B HAZELHURST DR # 41440
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-3238
Practice Address - Country:US
Practice Address - Phone:602-390-6758
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-05
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst