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Organization

ZEGEMA PROFESSIONAL RESOURCE CENTER

Active
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Organization

ZEGEMA PROFESSIONAL RESOURCE CENTER

Active
Other names
Professional Resource Center
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN DAVID HUBER SR. PSYD (CLINICAL PSYCHOLOGIST)
(512) 541-2133
Entity
Organization

Contact information

Practice address
1825 FORT VW, SUITE 101, AUSTIN, TX 78704-7657
(512) 541-2133
Mailing address
1825 FORT VW, SUITE 101, AUSTIN, TX 78704-7657
(512) 541-2133

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34416
TX
103TS0200X
School Psychologist
30636
TX

Other

Enumeration date
09/13/2010
Last updated
09/13/2010
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