Individual
MELISSA ANN CASE-VINCENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD, LSSP
Contact information
Practice address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
(512) 891-1500
Mailing address
6012 W WILLIAM CANNON DR STE B103, AUSTIN, TX 78749-1978
(512) 891-1500
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36551
TX
103TS0200X
School Psychologist
70023
TX
Other
Enumeration date
09/23/2013
Last updated
04/03/2014
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