Individual
DR. MARIEL SMITH CANNADY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
5339 N INTERSTATE 35 STE 100, AUSTIN, TX 78723-2558
(512) 898-9044
Mailing address
5339 N INTERSTATE 35 STE 100, AUSTIN, TX 78723-2558
(804) 928-3701
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
37676
TX
Other
Enumeration date
09/26/2017
Last updated
09/15/2021
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