NPI age
15 years
Enumerated 2010-12-08
Across 2632 active psychologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 05 (MD) | 037904200 | |
| 01 | 1A6905 | MEDICARE |
| 05 (TX) | 408966601 |
Solo or small practice. No other active providers share this practice address in NPPES.
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