Individual
SARA LOUISE TEDFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
810 W 45TH ST, AUSTIN, TX 78751-2802
(512) 451-2242
Mailing address
810 W 45TH ST, AUSTIN, TX 78751-2802
(512) 451-2242
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35205
TX
Other
Enumeration date
09/18/2008
Last updated
10/12/2011
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