Individual
DR. ROBERT EUGENE VANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE K-4, AUSTIN, TX 78759-8661
(512) 345-2588
(512) 345-1746
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE K-4, AUSTIN, TX 78759-8661
(512) 345-2588
(512) 345-1746
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
21456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
033005201
—
TX
Enumeration date
05/12/2006
Last updated
10/14/2011
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