Provider Demographics
NPI:1730379439
Name:VISER, DEMETRIA MONIQUE (LBSW)
Entity type:Individual
Prefix:MS
First Name:DEMETRIA
Middle Name:MONIQUE
Last Name:VISER
Suffix:
Gender:F
Credentials:LBSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13819 HALLFIELD DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77014-2690
Mailing Address - Country:US
Mailing Address - Phone:281-451-8862
Mailing Address - Fax:281-875-2752
Practice Address - Street 1:13819 HALLFIELD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77014-2690
Practice Address - Country:US
Practice Address - Phone:281-451-8862
Practice Address - Fax:281-875-2752
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-28
Last Update Date:2007-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX50271104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker