Basic Information
| Provider Information | |||||||||
| NPI: | 1356845978 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DARWIN | ||||||||
| FirstName: | CARYN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4400 MEMORIAL DR APT 1015 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770077341 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6159750031 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 3730 KIRBY DR STE 904 | ||||||||
| Address2: | |||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770983994 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324842635 | ||||||||
| FaxNumber: | 8322022479 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/20/2018 | ||||||||
| LastUpdateDate: | 03/20/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103T00000X | 37827 | TX | Y | Behavioral Health & Social Service Providers | Psychologist |
No ID Information.