Individual
DR. CHARLES LANKFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6801 BECKETT RD UNIT 104R, AUSTIN, TX 78749-1429
(212) 762-0695
Mailing address
6801 BECKETT RD UNIT 104R, AUSTIN, TX 78749-1429
(212) 762-0695
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
22743
TX
103TC0700X
Clinical Psychologist
Primary
22743
TX
Other
Enumeration date
08/25/2016
Last updated
08/25/2016
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