NPI | 1730719790 |
---|---|
Entity Type | Organization |
Authorized Contact | TIA BILLY CROSSLEY Licensed Psychologist 979-571-2077 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103TS0200X Psychologist, School | |
103TC0700X Psychologist, Clinical | |
Enumeration Date | 2020-01-18 |
Last Update Date | 2020-01-18 |