| NPI | 1497397236 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM LOPEZ Psyd 915-412-8751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-10-14 |
| Last Update Date | 2022-04-25 |