| NPI | 1033940614 |
|---|---|
| Doing Business As | DIVERGENT NEUROPSYCHOLOGY, PLLC |
| Entity Type | Organization |
| Authorized Contact | TINA MAE RICE Practice Owner/Neuropsychologist 469-487-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2024-08-13 |
| Last Update Date | 2024-08-13 |