NPI age
6 years
Enumerated 2019-07-15
Across 2632 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 38446 | STATE LICENSE |
| 01 (MO) | 2018042717 | STATE LICENSE |
Part of a multi-provider practice. 7 other active providers share this practice address in NPPES.
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