| NPI | 1407884588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERIT BAILEY JOHNSON Psychologist 214-215-2499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32099) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-08-22 |