| NPI | 1902282759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN O'ROURKE Owner / Neuropsychologist 800-291-1644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 36901) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 36901) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2020-09-08 |