| NPI | 1497477954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA ELLIOT Licensed Psychologist 512-506-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| 103TF0000X Psychologist, Family | |
| 103TS0200X Psychologist, School | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-09-13 |
| Last Update Date | 2022-09-13 |