| NPI | 1770995045 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALLISON K. CHASE Licensed Psychologist 512-347-9992  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 32120)  | 
| Additional Taxonomies | 101Y00000X Counselor (Licence: TX 66434)  | 
| 103T00000X Psychologist (Licence: TX 36621)  | |
| Enumeration Date | 2014-05-21 | 
| Last Update Date | 2014-05-22 |