Organization
JOE ETHERTON PHD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOE ETHERTON (PHD, OWNER)
(512) 982-9273
Entity
Organization
Contact information
Practice address
1008 MOPAC CIRCLE, SUITE 200, AUSTIN, TX 78746
(512) 982-9273
Mailing address
1008 MOPAC CIRCLE, SUITE 200, AUSTIN, TX 78746
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
32701
TX
Other
Enumeration date
09/13/2017
Last updated
09/13/2017
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