Basic Information
| Provider Information | |||||||||
| NPI: | 1578678785 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | TORRES | ||||||||
| FirstName: | JILL | ||||||||
| MiddleName: | F | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | |||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | FOLEY | ||||||||
| OtherFirstName: | JILL | ||||||||
| OtherMiddleName: | M | ||||||||
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| OtherCredential: | |||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 12012 WICKCHESTER LN | ||||||||
| Address2: | SUITE 550 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770791229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324482800 | ||||||||
| FaxNumber: | 8324482801 | ||||||||
| Practice Location | |||||||||
| Address1: | 12012 WICKCHESTER LN | ||||||||
| Address2: | SUITE 550 | ||||||||
| City: | HOUSTON | ||||||||
| State: | TX | ||||||||
| PostalCode: | 770791229 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8324482800 | ||||||||
| FaxNumber: | 8324482801 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 103TC0700X | 32492 | TX | Y | Behavioral Health & Social Service Providers | Psychologist | Clinical |
No ID Information.