Individual
LAUREN ADELYN GOTTERER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1613 W 6TH ST, AUSTIN, TX 78703-5075
(512) 859-6591
Mailing address
1613 W 6TH ST, AUSTIN, TX 78703-5075
(512) 859-6591
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
40574
TX
103T00000X
Psychologist
6256
NC
103T00000X
Psychologist
PSY34289
CA
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
40574
TX
103TC0700X
Clinical Psychologist
PSY34289
CA
103TC2200X
Clinical Child & Adolescent Psychologist
PSY34289
CA
Other
Enumeration date
04/08/2020
Last updated
03/11/2025
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