| NPI | 1063874683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY HAFERKAMP Clinical Psychologist 979-777-1683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 37193) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-03-23 |
| Last Update Date | 2024-10-17 |