| NPI | 1194041301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON S BERMAN Owner/Licensed Psychologist 214-929-9244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34212) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MO 2011006684) |
| 103TC0700X Psychologist, Clinical (Licence: KS 1945) | |
| Enumeration Date | 2010-04-13 |
| Last Update Date | 2022-01-25 |