Individual
BETTY PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4310 MEDICAL PKWY, STE 101, AUSTIN, TX 78756-3335
(512) 345-9900
(512) 329-7675
Mailing address
4310 MEDICAL PKWY, STE 101, AUSTIN, TX 78756-3335
(512) 345-9900
(512) 329-7675
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
25248
TX
Other
Enumeration date
11/08/2006
Last updated
07/09/2007
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