Individual
DR. BRIAN LOUIS VASQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
801 RR 620 SOUTH, STE 100 F, LAKEWAY, TX 78734
(512) 981-7789
Mailing address
15201 FALCON DR., LAKEWAY, TX 78734
(512) 656-1231
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC1900X
Counseling Psychologist
Primary
34365
TX
103TE1100X
Exercise & Sports Psychologist
—
—
103TH0004X
Health Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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