Organization
BLOSSOMING BRAINS PLLC
Active
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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