| NPI | 1457159329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY ELLEN COCHRAN Licensed Clinical Psychologist 331-465-9374 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-03-05 |
| Last Update Date | 2025-03-05 |