Individual
DR. MORGUN ELLIOT CUSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
12335 HYMEADOW DR STE 300, AUSTIN, TX 78750-1935
(512) 710-6733
Mailing address
10900 RESEARCH BLVD STE 160C PMB 1278, AUSTIN, TX 78759
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
023820
NY
103TC0700X
Clinical Psychologist
Primary
39361
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06294233
—
NY
Enumeration date
07/21/2015
Last updated
03/28/2023
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