| NPI | 1992106561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEY WRIGHT Clinical Psychologist 682-777-4325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 36255) |
| Enumeration Date | 2014-09-15 |
| Last Update Date | 2018-03-17 |