| Glen Forest Psychological Services, Llc | |
|
3006 Bee Caves Rd Ste A212 Austin TX 78746-5767 | |
| (512) 767-1136 | |
| Not Available |
| Full Name | Glen Forest Psychological Services, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3006 Bee Caves Rd Ste A212, Austin, Texas |
| Authorized Official Name and Position | Tyson Davis (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5127671136 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glen Forest Psychological Services, Llc 3006 Bee Caves Rd Ste A212 Austin TX 78746-5767 Ph: (512) 767-1136 | Glen Forest Psychological Services, Llc 3006 Bee Caves Rd Ste A212 Austin TX 78746-5767 Ph: (512) 767-1136 |
| NPI Number | 1922505551 |
|---|---|
| Provider Enumeration Date | 04/10/2018 |
| Last Update Date | 11/02/2021 |
| Certification Date | 11/02/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922505551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PS017720 (Pennsylvania) | Primary |
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