NPI age
20 years
Enumerated 2005-10-11
Across 2632 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (PA) | 0019658220001 | |
| 05 (NJ) | 6943101 |
Solo or small practice. No other active providers share this practice address in NPPES.
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