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Individual

DAVID CLAY CANSLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
3705 MEDICAL PKWY STE 360, AUSTIN, TX 78705-1023
(512) 451-0454
(512) 452-3393
Mailing address
3705 MEDICAL PKWY STE 360, AUSTIN, TX 78705-1023
(512) 451-0454
(512) 452-3393

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22007
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
81004P
BCBS ID #
TX
01
OOTN26
BCBS ID #
TX
Enumeration date
10/17/2006
Last updated
07/09/2007
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