NPI age
19 years
Enumerated 2006-11-08
Across 496 active clinical neuropsychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 00U49F | BLUE CROSS |
| 01 (TX) | 21099 | TEXAS LICENSE |
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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