| NPI | 1548040298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL MARIE LANTRIP Neuropsychologist 512-270-0511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-02 |