Individual
DR. MICHAEL J TELCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
2329 WESTLAKE DR, APT 4, AUSTIN, TX 78746-2964
(512) 404-9118
(512) 590-8657
Mailing address
2329 WESTLAKE DR APT 4, AUSTIN, TX 78746-2953
(512) 404-9118
(512) 590-8657
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2-3316
TX
103TC0700X
Clinical Psychologist
Primary
2-3316
TX
Other
Enumeration date
01/31/2012
Last updated
05/30/2013
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