| NPI | 1891308730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL ROSARIO NIEVES Clinical Neuropsychologist 682-259-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-08-29 |
| Last Update Date | 2022-07-02 |