| NPI | 1497067169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PAUL GOLDMAN Psychologist 830-895-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 22476) |
| Enumeration Date | 2010-07-09 |
| Last Update Date | 2010-07-12 |