Individual
DR. SALLIE ANN BOULOS-SOPHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4601 SPICEWOOD SPRINGS RD, BLDG 4, SUITE 200, AUSTIN, TX 78759
(512) 467-1376
(512) 467-8658
Mailing address
11604 SANTA ELENA LN, AUSTIN, TX 78717-5077
(512) 757-2641
(512) 467-8658
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36441
TX
Other
Enumeration date
09/09/2013
Last updated
12/31/2020
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