| NPI | 1679783492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANETTE DOSTER President, Psychologist 682-667-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 21708) |
| Additional Taxonomies | 103TS0200X Psychologist, School (Licence: TX 6463) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |