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Individual

DR. LARRY BROWNSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH D

Contact information

Practice address
3307 NORTHLAND DR STE 180, AUSTIN, TX 78731-4941
(512) 452-8116
Mailing address
3307 NORTHLAND DR STE 180, AUSTIN, TX 78731-4941
(512) 452-8116

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
23219
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00F99C
BCBS PROVIDER ID
TX
01
4365919
AETNA BH PROVIDER ID
TX
Enumeration date
07/27/2006
Last updated
07/08/2007
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