Individual
JOHN BREEDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
5306 FORT CLARK DR, AUSTIN, TX 78745-2356
(512) 799-3610
Mailing address
5306 FORT CLARK DR, AUSTIN, TX 78745-2356
(512) 799-3610
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
03218
TX
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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