Individual
DR. COURTNEY NICOLE WIESEPAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
7901 METROPOLIS DR, AUSTIN, TX 78744-3111
(800) 423-2111
Mailing address
2716 WINDING BROOK DR, AUSTIN, TX 78748-2003
(979) 203-1266
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
40232
TX
Other
Enumeration date
08/02/2024
Last updated
08/02/2024
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