Organization
PSICOLOGIA PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IVONNE M OCASIO-REYES PHD (OWNER)
(512) 494-4162
Entity
Organization
Contact information
Practice address
2500 W WILLIAM CANNON DR STE 703, AUSTIN, TX 78745-5252
(512) 494-4162
(518) 751-9514
Mailing address
2500 W WILLIAM CANNON DR STE 703, AUSTIN, TX 78745-5252
(512) 494-4162
(518) 751-9514
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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