| NPI | 1922523430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY D MERINO Licensed Psychologist 972-895-2609 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 37222) |
| Enumeration Date | 2017-08-04 |
| Last Update Date | 2022-02-08 |