Individual
DR. COLLEEN SEVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4601 SPICEWOOD SPRINGS RD STE 3-200, AUSTIN, TX 78759-7841
(512) 745-1779
Mailing address
4601 SPICEWOOD SPRINGS RD STE 3-200, AUSTIN, TX 78759-7841
(512) 745-1779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
0810004935
VA
103TC0700X
Clinical Psychologist
Primary
35055
TX
Other
Enumeration date
01/15/2012
Last updated
02/07/2022
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