Provider Demographics
NPI:1053348318
Name:HOUTS, ARTHUR C (PHD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:C
Last Name:HOUTS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 FELSPAR WAY
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-2201
Mailing Address - Country:US
Mailing Address - Phone:901-289-4611
Mailing Address - Fax:919-303-1028
Practice Address - Street 1:867 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27605-1255
Practice Address - Country:US
Practice Address - Phone:901-289-4611
Practice Address - Fax:919-303-1028
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-26
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3284103T00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1053348318OtherBC/BS NC
TN3981194Medicare PIN
7976028OtherAETNA
TNP00105954Medicare PIN
TN4070906OtherBCBS TN
MS01186872Medicaid
TN3981194Medicare PIN
AR99562OtherBCBS AR
LA1728624Medicaid