Individual
DR. BRETTJET LYN CODY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4200 CISCO VALLEY DR, ROUND ROCK, TX 78664-3940
(512) 909-0453
Mailing address
4200 CISCO VALLEY DR, ROUND ROCK, TX 78664-3940
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37474
TX
103TC0700X
Clinical Psychologist
37474
TX
103TM1800X
Intellectual & Developmental Disabilities Psychologist
37474
TX
103TS0200X
School Psychologist
70666
TX
Other
Enumeration date
02/18/2018
Last updated
08/25/2023
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