Individual
JONATHAN DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPA
Contact information
Practice address
5225 N LAMAR BLVD, AUSTIN, TX 78751-1820
(512) 483-5800
Mailing address
1430 COLLIER ST, AUSTIN, TX 78704-2911
(512) 472-4357
(512) 703-1394
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36020
TX
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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