| NPI | 1265950349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER SCOTT Credentialing Agent 940-723-4488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34800) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2017-09-08 |