| NPI | 1104572296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DILLON Practice Manager 512-528-3131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TC0700X Psychologist, Clinical | |
| 103TC1900X Psychologist, Counseling | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2024-12-03 |