| NPI | 1194236760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ROMAN Owner 210-342-1906 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist (Licence: TX 24435) | |
| 103TA0700X Psychologist, Adult Development & Aging | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2017-10-23 |
| Last Update Date | 2024-06-16 |