| NPI | 1720483852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON WILLIAM COOPER Psychologist 972-837-6782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36836) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |