| NPI | 1528396082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY C JOHNSON Owner 469-549-4200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 32578) |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2010-06-26 |