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A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Health Service |
103TH0100X | 62 | Psychologist, Clinical | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice |
| NPI # | 1295122547 |
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| LBN Legal business name | FRSTTEXAS CONSULTANTS | ||||||||||||
| Authorized official | DANIEL BODIN - (DIRECTOR) | ||||||||||||
| Entity | Organization | ||||||||||||
| Organization subpart 1 | No | ||||||||||||
| Enumeration date | 04/23/2015 | ||||||||||||
| Last updated | 05/08/2015 - About 11 years ago | ||||||||||||
| Identifiers |
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FRSTTEXAS CONSULTANTS