| NPI | 1659492635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RENEE OSTROM Psychologist 210-403-2050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 23850) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 23850) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2012-03-21 |