| NPI | 1336436757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN ARNOLD LANGE Psychologist 817-745-4612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 2-3082) |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy (Licence: TX 2-3082) |
| 106H00000X Marriage & Family Therapist (Licence: TX 2-3082) | |
| 101Y00000X Counselor (Licence: TX 2-3082) | |
| 101YM0800X Counselor, Mental Health (Licence: TX 2-3082) | |
| 101YP2500X Counselor, Professional (Licence: TX 2-3082) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 2-3082) | |
| 103TH0004X Psychologist, Health (Licence: TX 2-3082) | |
| Enumeration Date | 2011-07-06 |
| Last Update Date | 2011-07-06 |