| NPI | 1922505551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TYSON DAVIS Clinical Psychologist 512-767-1136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS017720) |
| Enumeration Date | 2018-04-10 |
| Last Update Date | 2021-11-02 |