| NPI | 1558975029 |
|---|---|
| Doing Business As | THE SHANDY CLINIC |
| Entity Type | Organization |
| Authorized Contact | WILLIAM COLT President 713-410-6889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |