Provider Demographics
NPI:1124130992
Name:VALDES, LOURDES M (PHD)
Entity type:Individual
Prefix:DR
First Name:LOURDES
Middle Name:M
Last Name:VALDES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26515 SANDY ARBOR LANE
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494
Mailing Address - Country:US
Mailing Address - Phone:281-395-2575
Mailing Address - Fax:713-621-7015
Practice Address - Street 1:535 E FERNHURST DR
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-1431
Practice Address - Country:US
Practice Address - Phone:832-437-6260
Practice Address - Fax:888-972-6230
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2021-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX3-1568103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical