| NPI | 1790050375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY B ROCHELLE Neuropsychologist 972-612-1305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 15435) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: TX 23838) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2017-03-06 |