Individual
DR. LAUREN BLYTHE GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1301 W 13TH ST APT D, AUSTIN, TX 78703-4038
(415) 359-3529
Mailing address
1301 W 13TH ST APT D, AUSTIN, TX 78703-4038
(415) 359-3529
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
35183
TX
103TS0200X
School Psychologist
70014
TX
Other
Enumeration date
09/15/2009
Last updated
07/18/2012
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