Individual
AUSTIN P. WADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1003 FLINT AVE, LUBBOCK, TX 79409
(806) 742-3674
Mailing address
TEXAS TECH UNIVERSITY STUDENT COUNSELING CENTER, BOX 45008, LUBBOCK, TX 79409-5008
(806) 742-3674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
T-LMLP 2720
KS
Other
Enumeration date
08/23/2016
Last updated
05/31/2018
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