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Individual

DANA MARIE FERRIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
4701 WEST GATE BLVD, BUILDING D #403, AUSTIN, TX 78745
(512) 462-0056
Mailing address
PO BOX 93042, AUSTIN, TX 78709-3042
(512) 462-0056

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24530
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0058CM
BCBS
TX
Enumeration date
09/20/2006
Last updated
03/26/2008
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