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Organization

THE DIVORCE RECOVERY AND FAMILY RESOURCES CENTER, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. LARRY J. MILLER PH.D. (PRESIDENT)
(512) 502-1882
Entity
Organization

Contact information

Practice address
4131 SPICEWOOD SPRINGS RD, SUITE K 8, AUSTIN, TX 78759-8661
(512) 502-1882
(512) 346-4188
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE K 8, AUSTIN, TX 78759-8661
(512) 502-1882
(512) 346-4188

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2 1851
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699849372
NPI TYPE 1
TX
01
GK 72
BLUE CROSS BLUE SHIELD
Enumeration date
06/22/2007
Last updated
08/22/2020
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