Individual
DR. ANDREANA T AUGUSTUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
(940) 692-1200
Mailing address
6515 KEMP BLVD, WICHITA FALLS, TX 76308-5419
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
1365
NM
103TB0200X
Cognitive & Behavioral Psychologist
37001
TX
103TC0700X
Clinical Psychologist
1365
NM
103TC0700X
Clinical Psychologist
Primary
37001
TX
103TF0200X
Forensic Psychologist
1365
NM
103TF0200X
Forensic Psychologist
37001
TX
103TP2701X
Group Psychotherapy Psychologist
1365
NM
103TP2701X
Group Psychotherapy Psychologist
37001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
47043
—
NM
Enumeration date
03/05/2008
Last updated
08/28/2015
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