Provider Demographics
NPI:1689201139
Name:DEVLIN, ROSE MARY (LPC)
Entity type:Individual
Prefix:
First Name:ROSE
Middle Name:MARY
Last Name:DEVLIN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16913 HARKEY RD
Mailing Address - Street 2:
Mailing Address - City:PEARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:77584-5056
Mailing Address - Country:US
Mailing Address - Phone:832-746-6735
Mailing Address - Fax:
Practice Address - Street 1:9639 SCARSDALE BLVD
Practice Address - Street 2:
Practice Address - City:PEARLAND
Practice Address - State:TX
Practice Address - Zip Code:77581-1416
Practice Address - Country:US
Practice Address - Phone:281-946-0997
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-25
Last Update Date:2020-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional