| NPI | 1447329024 |
|---|---|
| Other Name | PROFESSIONAL ASSOCIATION |
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLAN GLICK Licensed Psychologist 214-521-0451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX TX214042) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2009-09-15 |