| NPI | 1154055713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNA REEVES Psychologist, Owner 512-766-8781 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| 261QH0700X Clinic/Center Hearing and Speech | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-11 |
| Last Update Date | 2022-07-11 |