Individual
DR. GAYLE RENEE OWENS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
913 W LYNN ST, STE 1, AUSTIN, TX 78703-4782
(512) 306-9944
(512) 236-9027
Mailing address
913 W LYNN ST, STE 1, AUSTIN, TX 78703-4782
(512) 306-9944
(512) 236-9027
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4421
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00K32H
BC/BS PROVDER NUMBER
TX
Enumeration date
05/08/2006
Last updated
07/09/2007
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