| NPI | 1245412022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICEANNE BRUNN Partner/Psychologist 254-772-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 21383) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2007-12-03 |