| NPI | 1669997375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADEJOKE JEGEDE Neuropsychologist 817-600-8892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 34277) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2020-12-23 |