Organization
CORRECTIONAL REHABILITATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW LUKE FERRARA PH.D. (PSYCHOLOGIST)
(512) 708-0502
Entity
Organization
Contact information
Practice address
4833 SPICEWOOD SPRINGS RD STE 101, AUSTIN, TX 78759-8436
(512) 708-0502
(512) 708-0557
Mailing address
1304 NUECES STREET, AUSTIN, TX 78701
(512) 708-0502
(512) 708-0557
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22796
TX
Other
Enumeration date
11/17/2008
Last updated
03/30/2022
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