Organization
SAGE PROFESSIONAL CONSULTING CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUZANNE CARLTON HART PH.D. (DIRECTOR)
(979) 530-8246
Entity
Organization
Contact information
Practice address
TWO SAINT MARK'S PL STE 147, LA GRANGE, TX 78945
(979) 530-8246
Mailing address
TWO SAINT MARK'S PL STE 147, LA GRANGE, TX 78945
(979) 530-8246
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33121
TX
Other
Enumeration date
01/26/2007
Last updated
08/22/2014
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