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Organization
TEXAS CHILD STUDY CENTER
Active
Organization
TEXAS CHILD STUDY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN D STARK PHD (DIRECTOR)
(512) 324-3315
Entity
Organization
Contact information
Practice address
1600 W 38TH ST STE 212, AUSTIN, TX 78731-6405
(512) 324-3315
(512) 324-3314
Mailing address
1600 W 38TH ST STE 212, AUSTIN, TX 78731-6405
(512) 324-3315
(512) 324-3314
Taxonomy
Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
36256
TX
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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