NPI | 1114236288 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLOTTE LEA RHYNE Licensed Psychologist 903-954-0605 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34473) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 34473) |
Enumeration Date | 2010-10-06 |
Last Update Date | 2012-06-29 |