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Organization
AUSTIN PSYCHOLOGICAL PRACTICE, PLLC
Active
Organization
AUSTIN PSYCHOLOGICAL PRACTICE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON SHESTOK (OWNER)
(512) 998-9806
Entity
Organization
Contact information
Practice address
5758 BALCONES DR STE 203, AUSTIN, TX 78731-4274
(512) 998-9806
(512) 861-1985
Mailing address
7503 GROVER AVE, AUSTIN, TX 78757-1915
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
37124
TX
Other
Enumeration date
10/27/2017
Last updated
10/27/2017
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