Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 37382 | TX |
Y | 103TC0700X | Clinical Psychologist | 37382 | TX |
N | 225XP0200X | Occupational Therapist - Pediatrics | 111722 | TX |
NPI | 1053468603 |
---|---|
Provider Name | Necole Rivers |
First Address | Belton, TX 76513-1536 |
Second Address | Killeen, TX 76542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2007 |
Last Update Date | 26/01/2017 |