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Organization

MARA MAKASIAR, PHD, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARIE MARANATHA MAKASIAR PHD (LICENSED PSYCHOLOGIST)
(630) 258-9991
Entity
Organization

Contact information

Practice address
2401 ALDRICH ST APT 412, AUSTIN, TX 78723-2123
(512) 609-0729
Mailing address
2401 ALDRICH ST APT 412, AUSTIN, TX 78723-2123

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary

Other

Enumeration date
06/23/2026
Last updated
06/23/2026
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