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Individual

DR. RAYMOND EMERSON AUSTIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1858 KELLER PKWY, SUITE D, KELLER, TX 76248-3757
(817) 726-0015
(817) 431-5355
Mailing address
1858 KELLER PKWY, SUITE D, KELLER, TX 76248-3758
(817) 726-0015
(817) 431-5355

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
30829
TX
103T00000X
Psychologist
30829
TX

Other

Enumeration date
02/02/2007
Last updated
01/30/2008
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