Individual
DR. CARLOS MIGUEL LOREDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2111 MONTCLAIRE ST, AUSTIN, TX 78704-3909
(512) 443-0190
(512) 326-4818
Mailing address
2111 MONTCLAIRE ST, AUSTIN, TX 78704-3909
(512) 443-0190
(512) 326-4818
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2-1637
TX
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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