Individual
TARA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4900 BAGBY AVE APT 819, WACO, TX 76711-0035
(408) 722-7485
Mailing address
4900 BAGBY AVE APT 819, WACO, TX 76711-0035
(408) 722-7485
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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