NPI | 1225441355 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSHUA MYLES MASINO President 214-842-7887 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34716) |
Enumeration Date | 2014-06-05 |
Last Update Date | 2014-06-05 |