| NPI | 1528218120 |
|---|---|
| Other Name | KIDS BRAIN |
| Entity Type | Organization |
| Authorized Contact | JENNIFER RENE MORRISON Licensed Psychologist 214-360-9044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 33794) |
| Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: TX 1143519) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: TX 109104) | |
| 235Z00000X Speech-Language Pathologist, (Licence: TX 106894) | |
| Enumeration Date | 2008-09-19 |
| Last Update Date | 2023-09-07 |