Provider Demographics
NPI:1972162261
Name:PAUL, JOSEPHINE ANNETTE (MA, LMFT-S)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:ANNETTE
Last Name:PAUL
Suffix:
Gender:F
Credentials:MA, LMFT-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 THOMPSON ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77007-3561
Mailing Address - Country:US
Mailing Address - Phone:210-464-4556
Mailing Address - Fax:
Practice Address - Street 1:3642 UNIVERSITY BLVD STE 201
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77005-3326
Practice Address - Country:US
Practice Address - Phone:210-464-4556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-10
Last Update Date:2019-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX202049106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist