Provider Demographics
NPI:1528322955
Name:PARIS, DEWEY GEORGE (LCSW)
Entity type:Individual
Prefix:MR
First Name:DEWEY
Middle Name:GEORGE
Last Name:PARIS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3817 FERN ST
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:TX
Mailing Address - Zip Code:77503-1515
Mailing Address - Country:US
Mailing Address - Phone:832-452-8792
Mailing Address - Fax:713-521-0748
Practice Address - Street 1:501 SUL ROSS ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77006-5030
Practice Address - Country:US
Practice Address - Phone:281-888-4927
Practice Address - Fax:713-521-0748
Is Sole Proprietor?:No
Enumeration Date:2012-06-29
Last Update Date:2012-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX509661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical