Individual
DR. JUN-CHIH GISELA LIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1401 SANDIA PLZ, BRYAN, TX 77802-4356
(979) 314-9698
(979) 314-9698
Mailing address
3904 PUFFIN WAY, COLLEGE STATION, TX 77845-6265
(979) 575-6285
(979) 690-0860
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
25111
TX
103TC1900X
Counseling Psychologist
Primary
25111
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4034530
—
TX
Enumeration date
09/13/2013
Last updated
07/15/2020
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