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Individual

JACK TSAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
8701 SHOAL CREEK BLVD STE 404, AUSTIN, TX 78757-6809
(512) 879-1836
Mailing address
4708 BULL CREEK RD, AUSTIN, TX 78731-5506

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35206
TX
103TC1900X
Counseling Psychologist
35206
TX

Other

Enumeration date
02/03/2012
Last updated
09/29/2018
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