NPI age
18 years
Enumerated 2007-11-06
Across 3401 active psychologist providers in Texas.
| Type | Value | Notes |
|---|---|---|
| 05 (IN) | 200886730 | |
| 01 (IN) | 2501409 | CIGNA BEHAVIORAL HEALTH |
| 01 | 261588355 | TRICARE |
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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