NPI age
19 years
Enumerated 2006-12-06
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (VT) | 1004243 | MEDICAID |
| 05 (NH) | 30422291 |
Part of a multi-provider practice. 30 other active providers share this practice address in NPPES.
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