Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TB0200X | Cognitive & Behavioral Psychologist |
NPI | 1134355449 |
---|---|
Provider Name | Throstur Bjorgvinsson |
First Address | Houston, TX 77006 |
Second Address | Houston, TX 77006-5031 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/06/2009 |
Last Update Date | 02/06/2009 |