NPI age
19 years
Enumerated 2006-08-03
Across 88 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (VT) | OVN3675 | |
| 01 (VT) | 0006931 | BCBS GROUP DOMHA |
Part of a multi-provider practice. 148 other active providers share this practice address in NPPES.
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