| NPI | 1710150644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HARRIS BENNETT Clinical Psychologist 469-467-0644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 2-5024) |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic (Licence: TX 2-5024) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2008-06-13 |