NPI age
20 years
Enumerated 2005-06-10
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 1476715-01 | |
| 01 (TX) | 162291 | COMPSYCH |
| 01 (TX) | 118398000 | MAGELLAN |
| 01 (TX) | 0091GZ | BLUE CROSS/SHIELD |
Part of a multi-provider practice. 1 other active provider shares this practice address in NPPES.
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