Organization
GULF COAST PSYCHOLOGY PLLC
Active
Other names
Mary Ann Gansle Sole MBR
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY ANN GANSLE PH.D. (PSYCHOLOGIST)
(361) 445-4080
Entity
Organization
Contact information
Practice address
1700 WILDCAT DR STE D, PORTLAND, TX 78374-2817
(361) 445-4080
(888) 413-3010
Mailing address
PO BOX 2, PORTLAND, TX 78374-0002
(361) 445-4080
(888) 413-3010
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35139
TX
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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