| NPI | 1245435205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BIEBERICH Clinical Psychologist 512-627-6259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MN 4190) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MN 4190) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2014-02-15 |