| NPI | 1376015511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LANCE S DIXON Psychologist 940-304-3115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| Enumeration Date | 2018-12-28 |
| Last Update Date | 2018-12-28 |