| NPI | 1700933116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WESLEY BEATY President 972-596-6351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: TX 22958) |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging (Licence: TX 22958) |
| 103TC1900X Psychologist Counseling (Licence: TX 22958) | |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: TX 22958) | |
| 103TF0200X Psychologist Forensic (Licence: TX 22958) | |
| 103TS0200X Psychologist School (Licence: TX 30315) | |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2020-08-22 |