| NPI | 1073783148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON LEROY GEARING Pshchologist 972-596-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TF0000X Psychologist, Family | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |