NPI age
17 years
Enumerated 2009-04-01
Across 3401 active psychologist providers in Texas.
1 individual provider on file at this primary practice address.
| Type | Value | Notes |
|---|---|---|
| 01 (NY) | 017592 | NEW YORK PSYCHOLOGIST LICENSE |
| 01 (TX) | 36218 | TEXAS PSYCHOLOGY LICENSE |
| 01 (TX) | 1215109194 | INDIVIDUAL NPI |
Multi-provider organization. 1 individual provider on file at this primary address.
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