| NPI | 1225376239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA CAMPBELL Licensed Clinical Psychologist/Owne 682-433-5650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34620) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-01-25 |