| NPI | 1144790130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK DAVID RANDOLPH Licensed Psychologist 806-771-8808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2018-12-03 |
| Last Update Date | 2024-01-02 |