| NPI | 1134337413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE DIANE BATES Psychologist 806-794-3393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 31057) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: TX 25028) |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2020-08-22 |