NPI age
19 years
Enumerated 2006-09-20
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4121566 | AETNA PPO |
| 01 (TX) | B1379P | BCBS |
Solo or small practice. No other active providers share this practice address in NPPES.
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