Individual
ALICE MARIE CASTLEBERRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
327 EARL GARRETT ST, KERRVILLE, TX 78028-4514
(830) 522-2547
Mailing address
PO BOX 2536, PO BOX 561, ATHENS, TX 75751-7536
(830) 928-5299
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171650802
—
TX
Enumeration date
10/04/2006
Last updated
12/01/2016
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