| NPI | 1134562341 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAN R ZIMMERMAN Psychologist 241-618-1451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 16829) |
| Enumeration Date | 2013-04-08 |
| Last Update Date | 2013-05-30 |