Individual
DR. KELLY GIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LP
Contact information
Practice address
13276 RESEARCH BLVD, 203, AUSTIN, TX 78750-3236
(512) 966-5729
Mailing address
PO BOX 1911, CEDAR PARK, TX 78630-1911
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
36703
TX
Other
Enumeration date
04/18/2016
Last updated
04/18/2016
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