| Doctor Name: | MS. ANA I. MICALE |
| NPI Number: | 1154730380 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICENSED PROFESSIONA |
| License Number: | |
| Business Practice Address: | 1310 Delesandri Kemah, TX - 77565 |
| Business Phone Number: | 7138071500 |
| Business Fax Number: | 7135278558 |
| Mailing Address: | P.o Box 890008, HOUSTON |
| State: | TX |
| Postal Code: | 77289 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 08/13/2014 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |