| NPI | 1336417369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY NOBLE Psychologist 817-488-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34625) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34625) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |