| NPI | 1982032330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MORGAN L LUCAS Owner 740-802-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: TX 34930) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: TX 34502) |
| 103T00000X Psychologist (Licence: TX 35136) | |
| Enumeration Date | 2013-10-23 |
| Last Update Date | 2013-10-23 |