| NPI | 1689192403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN-LOUISE THERESA LOCKHART President/Pediatric Psychologist 210-816-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 34330) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2017-09-08 |