| NPI | 1649689076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RICHARD CUPPETT Owner/Psychologist 817-375-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 32661) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |