| NPI | 1033592951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MYRON S. LAZAR President 214-691-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103TP0814X Psychologist Psychoanalysis | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2015-07-09 |