Individual
FLETCHER FUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(310) 265-3644
Mailing address
762 MENDOCINO AVE APT 6, SANTA ROSA, CA 95401-4817
(310) 265-3644
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
07/28/2017
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