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Individual

DR. PHILIP ADOLPHE KERNE IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
10505 S IH 35, #732, AUSTIN, TX 78747-2603
(512) 382-5410
Mailing address
10505 S IH 35, #732, AUSTIN, TX 78747-2603
(512) 382-5410

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
33792
TX
103TC1900X
Counseling Psychologist
Primary
33792
TX

Other

Enumeration date
06/18/2008
Last updated
10/31/2012
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