| NPI | 1912361841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN DANIEL BOYNTON Psychologist 903-593-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-04-06 |
| Last Update Date | 2026-03-12 |