NPI age
13 years
Enumerated 2012-10-18
Across 2632 active psychologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 3310989-03 | |
| 01 (TX) | 824130264 | TAX ID |
| 05 (TX) | 3310989-04 | |
| 05 (TX) | 3310989-05 |
Part of a multi-provider practice. 8 other active providers share this practice address in NPPES.
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