| NPI | 1548771496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANY LYNNE MAHAFFEY Licensed Psychologist 940-453-0872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY9160) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: FL PY9160) |
| 103TC1900X Psychologist, Counseling (Licence: FL PY9160) | |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2018-03-17 |