Provider Demographics
NPI:1114143054
Name:GENAC, DAVID STEVEN (PHD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:STEVEN
Last Name:GENAC
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 1:1200 BAKER ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77002-1206
Mailing Address - Country:US
Mailing Address - Phone:346-286-2347
Mailing Address - Fax:
Practice Address - Street 1:1200 BAKER ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77002-1206
Practice Address - Country:US
Practice Address - Phone:346-286-2347
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
103TC1900X
TX31528103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling