| NPI | 1649943663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA L ELLIOT Director 512-506-1980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 101YS0200X Counselor School | |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC0700X Psychologist Clinical | |
| 103TC1900X Psychologist Counseling | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TM1800X Psychologist Mental Retardation & Developmental Disabilities | |
| 103TR0400X Psychologist Rehabilitation | |
| 103TS0200X Psychologist School | |
| 224Z00000X Occupational Therapy Assistant | |
| 225XP0200X Occupational Therapist Pediatrics | |
| 235Z00000X Speech-Language Pathologist | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-07-26 |
| Last Update Date | 2021-07-26 |