Individual
MARINA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 N MOPAC EXPY STE 200, AUSTIN, TX 78731-3013
(512) 632-4117
Mailing address
633 SHALE DR, JARRELL, TX 76537-1376
(512) 632-4117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
38150
TX
Other
Enumeration date
10/14/2019
Last updated
06/12/2024
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