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Individual

DR. EVELYN JAGPAT-O'HALLORAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
12028 PEPPERIDGE DR, AUSTIN, TX 78739-1948
(512) 297-2554
Mailing address
12028 PEPPERIDGE DR, AUSTIN, TX 78739-1948
(512) 297-2554

Taxonomy

Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
36357
TX
103TC0700X
Clinical Psychologist
Primary
36357
TX
103TH0004X
Health Psychologist
36357
TX
103TH0100X
Health Service Psychologist
36357
TX
103TP2701X
Group Psychotherapy Psychologist
36357
TX

Other

Enumeration date
05/08/2014
Last updated
05/08/2014
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