Individual
IVONNE OCASIO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
2500 W WILLIAM CANNON DR, SUITE 703, AUSTIN, TX 78745-5257
(512) 494-4162
(518) 751-9514
Mailing address
2500 W WILLIAM CANNON DR, SUITE 703, AUSTIN, TX 78745-5257
(512) 494-4162
(518) 751-9514
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2494
PR
103TC0700X
Clinical Psychologist
Primary
36478
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3289878-01
—
TX
Enumeration date
08/25/2010
Last updated
05/03/2017
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