| NPI | 1730593633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA HARTWIG Office Manager 972-247-9946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: TX 22888) |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2014-06-18 |