Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist | 33818 | TX |
NPI | 1033376454 |
---|---|
Provider Name | Ms. Irene Tobis |
First Address | Austin, TX 78723-1172 |
Second Address | Austin, TX 78723-1172 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/05/2008 |
Last Update Date | 22/05/2008 |