NPI age
20 years
Enumerated 2005-08-30
Across 3401 active psychologist providers in Texas.
2 secondary locations on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 0051GZ | BLUE CROSS/BLUE SHIELD |
| 01 (TX) | 7473360 | AETNA |
| 01 (TX) | 305188 | CHAMPUS |
| 05 (TX) | 1507170-01 |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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