Individual
GEMMA MARANGONI AINSLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1413 MOHLE DR, AUSTIN, TX 78703-1933
(512) 451-5678
Mailing address
1413 MOHLE DR, AUSTIN, TX 78703-1933
(512) 451-5678
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22093
TX
Other
Enumeration date
06/06/2014
Last updated
06/06/2014
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