| NPI | 1043571334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS SMITH Owner/ Psychologist 512-650-8639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 33891) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CO 3727) |
| Enumeration Date | 2012-06-03 |
| Last Update Date | 2012-06-03 |