| NPI | 1255578191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C JOHNSON Psycologist 972-850-0720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 32578) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 32698) |
| Enumeration Date | 2009-01-14 |
| Last Update Date | 2009-01-14 |