Organization
AUSTINOCD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE MANSBRIDGE PHD (DIRECTOR)
(512) 626-3900
Entity
Organization
Contact information
Practice address
6633 E HWY 290, SUITE 300, AUSTIN, TX 78723-1172
(512) 327-9494
(512) 637-5578
Mailing address
6633 E HWY 290, SUITE 300, AUSTIN, TX 78723-1172
(512) 327-9494
(512) 637-5578
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
31754
TX
Other
Enumeration date
11/11/2009
Last updated
11/11/2009
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