| NPI | 1649447053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA B. GROSSMAN Owner/Psychologist 979-268-7776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 25064) |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2008-05-14 |