Individual
DR. JENNIFER LYN AYRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1313 RED RIVER ST, SUITE 100, AUSTIN, TX 78701-1943
(512) 324-8611
Mailing address
1313 RED RIVER ST, SUITE 100, AUSTIN, TX 78701-1943
(512) 324-8611
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31723
TX
103TC0700X
Clinical Psychologist
PSY 18763
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191430101
—
TX
Enumeration date
03/17/2007
Last updated
04/22/2013
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