Individual
MALLORY BURDETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2111 DICKSON DR STE 33, AUSTIN, TX 78704-4788
(512) 937-2479
Mailing address
3406 MENCHACA RD APT 24, AUSTIN, TX 78704-6075
(404) 664-7756
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
39724
TX
Other
Enumeration date
03/25/2024
Last updated
03/25/2024
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