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Organization

ALICE LOTTES, PH.D.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ALICE LOTTES PH.D. (DIRECTOR)
(512) 451-3496
Entity
Organization

Contact information

Practice address
4201 MARATHON BLVD STE 206, AUSTIN, TX 78756-3409
(512) 451-3496
(512) 451-3498
Mailing address
4201 MARATHON BLVD STE 206, AUSTIN, TX 78756-3409
(512) 451-3496
(512) 451-3498

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31930
TX

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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