| NPI | 1356573414 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN KELLY MARTIN Owner 903-258-9938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 4740) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2009-10-26 |