Individual
DR. AUSTIN GOLLMER HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., M.A.
Contact information
Practice address
954 RISA RD, SUITE A, LAFAYETTE, CA 94549-3418
(925) 284-0691
(925) 283-2381
Mailing address
954 RISA RD, SUITE A, LAFAYETTE, CA 94549-3418
(925) 284-0691
(925) 283-2381
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY4909
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0PL49090
—
CA
Enumeration date
07/07/2006
Last updated
07/08/2007
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