| NPI | 1467694935 |
|---|---|
| Doing Business As | MEDIPSYCH COUNSELING ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | GERALDINE M DISNARD Owner/Authorized Agent 817-694-4978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9274840) |
| Enumeration Date | 2009-03-30 |
| Last Update Date | 2010-11-04 |