Individual
TERRY LYNN GREEN-WITTY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RPH, BCPP
Contact information
Practice address
3501 MILLS AVE, AUSTIN, TX 78731-6309
(512) 324-2027
(512) 324-2125
Mailing address
6012 ABILENE TRL, AUSTIN, TX 78749-2806
(512) 324-2027
(512) 324-2125
Taxonomy
Speciality
Code
Description
License number
State
1835P1300X
Psychiatric Pharmacist
Primary
25879
TX
Other
Enumeration date
07/06/2005
Last updated
07/08/2007
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