| NPI | 1538157318 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CLIFTON DAVIS Clinical Psychologist 214-438-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-2012) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 2-2012) |
| 106H00000X Marriage & Family Therapist (Licence: TX 2-2012) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 2-2012) | |
| Enumeration Date | 2005-10-06 |
| Last Update Date | 2008-08-06 |