Organization
CYPRESS TREE PSYCHOLOGICAL SERVICES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ILLYSA RENE FOSTER LPA (PSYCHOTHERAPIST)
(512) 809-3132
Entity
Organization
Contact information
Practice address
2615 CARNARVON LN, AUSTIN, TX 78704-5601
(512) 809-3132
Mailing address
2615 CARNARVON LN, AUSTIN, TX 78704-5601
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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