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Organization

JENNIFER VANE, PH.D., P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JENNIFER VANE MELROSE PH.D. (PRESIDENT LICENSED PSYCHOLOGIST)
(512) 495-9556
Entity
Organization

Contact information

Practice address
4409 MEDICAL PKWY, AUSTIN, TX 78756-3313
(512) 495-9556
Mailing address
6704 VALBURN DR, AUSTIN, TX 78731-1802
(512) 608-4079

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32530
TX

Other

Enumeration date
09/16/2006
Last updated
02/06/2008
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