NPI age
20 years
Enumerated 2006-04-18
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 01 | 572913 | BCBS |
| 05 (GA) | 000693448A |
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
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