Individual
GLENN RICHARD OLDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
508 DEEP EDDY AVE, AUSTIN, TX 78703-4555
(512) 217-9579
(512) 469-0889
Mailing address
508 DEEP EDDY AVE, AUSTIN, TX 78703-4555
(512) 217-9579
(512) 469-0889
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
34890
TX
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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