| NPI | 1750806311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALANDA NICHELLE GORDON Owner/Clinical Director 214-396-9699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34687) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34687) |
| 103TC0700X Psychologist, Clinical (Licence: TX 34687) | |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-07-21 |