| NPI | 1982845111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS EVAN DEVERE Licensed Psychologist 512-261-3999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: TX 34236) |
| Enumeration Date | 2009-03-18 |
| Last Update Date | 2020-01-06 |