NPI | 1992178396 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM ATTERBURY MONTGOMERY President 325-223-0786 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 25043) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2015-11-06 |