Individual
DR. MARISA MAURO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
316 W 12TH ST, SUITE 602, AUSTIN, TX 78701-1815
(512) 551-0601
Mailing address
316 W 12TH ST, STE 602, AUSTIN, TX 78701-1815
(512) 551-0601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
22475
CA
103T00000X
Psychologist
Primary
34652
TX
Other
Enumeration date
08/04/2009
Last updated
01/13/2014
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