NPI age
20 years
Enumerated 2005-12-09
Across 3401 active psychologist providers in Texas.
1 secondary location on file with NPPES.
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 87436A | BLUE CROSS BLUE SHIELD |
| 05 (TX) | 036343403 | |
| 01 (TX) | 7979798 | CIGNA |
Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.
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