| NPI | 1477301059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN MAREK Licensed Clinical Psychologist 832-510-7862 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2024-05-09 |
| Last Update Date | 2024-05-09 |