| NPI | 1083856587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA M DOWN Owner/Psychologist 210-858-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-5100) |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service (Licence: TX 2-5100) |
| 246ZE0500X Specialist/Technologist, Other, EEG (Licence: TX 2-5100) | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic (Licence: TX 2-5100) | |
| 103G00000X Clinical Neuropsychologist (Licence: TX 2-5100) | |
| 101YP2500X Counselor, Professional | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 2-5100) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-5100) | |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2012-07-09 |