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Individual

DR. JUSTIN O'ROURKE

Active
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Individual

DR. JUSTIN O'ROURKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D., ABPP, ABCN

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
36901
TX
103T00000X
Psychologist
36901
TX
103TF0200X
Forensic Psychologist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
36901
TEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
TX
01
8135
AMERICAN BOARD OF PROFESSIONAL PSYCHOLOGY (ABPP, ABCN)
Enumeration date
12/14/2012
Last updated
04/12/2021
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