| NPI | 1033318860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE M. FARIS Licensed Psychologist 817-354-5554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32477) |
| Enumeration Date | 2007-07-12 |
| Last Update Date | 2007-07-12 |