NPI age
19 years
Enumerated 2007-02-14
Across 224 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (NC) | 047F7 | BCBS |
| 05 (NC) | 6000984 |
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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