| NPI | 1437596566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JOSEPH TELCH Clinical Psychologist 512-404-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: TX 23316) |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2013-05-30 |