Organization
BLOSSOMING BRAINS PLLC
Active
Other names
Blossoming Brains
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MORGAN IRENE CAREY GRAHOVEC PH.D. (OWNER)
(214) 385-8001
Entity
Organization
Contact information
Practice address
11955 DALLAS PKWY, #400, FRISCO, TX 75033-4293
(214) 385-8001
Mailing address
5000 ELDORADO PKWY, BOX 555, FRISCO, TX 75033-8695
(214) 385-8001
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
37229
TX
103TC0700X
Clinical Psychologist
Primary
37229
TX
103TC2200X
Clinical Child & Adolescent Psychologist
37229
TX
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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