NPI age
17 years
Enumerated 2008-12-08
Across 2632 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 350873101 | |
| 01 (TX) | 350873102 | MEDICAID CSHCN |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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