| NPI | 1437430501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOYD VERON TAYLOR Manager 512-246-8055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 32450) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: TX 32450) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2011-09-02 |