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Individual

ELLIS MORGAN CRAIG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
1200 N BISHOP ST, SAN MARCOS, TX 78666-2706
(512) 392-7104
Mailing address
819 WATER ST, SUITE 300, KERRVILLE, TX 78028-5333
(830) 792-3300
(830) 792-5771

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
21390
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21390
PSYCHOLOGIST LICENSE
TX
Enumeration date
01/08/2007
Last updated
12/10/2007
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