Cypress Tree Psychological Services Pa | |
2615 Carnarvon Ln Austin TX 78704-5601 | |
(512) 809-3132 | |
Not Available |
Full Name | Cypress Tree Psychological Services Pa |
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Speciality | Psychologist |
Location | 2615 Carnarvon Ln, Austin, Texas |
Authorized Official Name and Position | Illysa Rene Foster (PSYCHOTHERAPIST) |
Authorized Official Contact | 5128093132 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Cypress Tree Psychological Services Pa 2615 Carnarvon Ln Austin TX 78704-5601 Ph: () - | Cypress Tree Psychological Services Pa 2615 Carnarvon Ln Austin TX 78704-5601 Ph: (512) 809-3132 |
NPI Number | 1841680055 |
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Provider Enumeration Date | 01/26/2015 |
Last Update Date | 01/26/2015 |
Identifier | Type | State | Issuer |
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1841680055 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | (* (Not Available)) | Primary |
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