| NPI | 1073759809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETINA L BURDEN Manager Of Operations 281-657-6052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103G00000X Clinical Neuropsychologist (Licence: PA PS016206) | |
| 103TC0700X Psychologist, Clinical (Licence: PA PS016206) | |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2014-02-11 |