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NPI Profile for CORPORATE INDUSTRY MEDICAL GROUP in IRVING, TX.
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical Neuropsychologist |
103G00000X | |||
Pain Medicine |
208VP0000X | 72 | Physician/Pain Management | |
Physical Medicine & Rehabilitation |
208100000X | 25 | Physician/Physical Medicine and Rehabilitation | |
Preventive Medicine/Occupational-Environmental Medicine |
2083P0500X | 84 | Physician/Preventive Medicine |
| NPI # | 1174731517 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/18/2007 | |
| Last updated | 04/25/2014 - About 12 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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CORPORATE-INDUSTRY MEDICAL GROUP
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CORPORATE-INDUSTRY MEDICAL GROUP