| NPI | 1043807506 |
|---|---|
| Former Legal Business Name | DR. SOPHY COUNSELING & PSYCHOLOGICAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | SALLIE A BOULOS-SOPHY Psychologist 512-757-2641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-12-30 |
| Last Update Date | 2021-02-25 |