Organization
MICHELLE B VIRO PHD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE B VIRO PHD (PRESIDENT)
(281) 831-9852
Entity
Organization
Contact information
Practice address
916 EAST BLANCO ROAD, BUILDING 200, BOERNE, TX 78006
(281) 831-9852
(281) 313-4676
Mailing address
175 LAKEFRONT DRIVE, BOERNE, TX 78006
(281) 831-9852
(281) 313-4676
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32786
TX
Other
Enumeration date
09/25/2006
Last updated
04/10/2023
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