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Individual

DR. GREGORY A NYSTEDT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
9950 CYPRESSWOOD DR, SUITE 227, HOUSTON, TX 77070-3414
(281) 970-7926
(281) 955-2913
Mailing address
9950 CYPRESSWOOD DR, SUITE 227, HOUSTON, TX 77070-3414
(281) 970-7926
(281) 955-2913

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21558
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
21558
LICENSE FROMTEXAS STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
TX
Enumeration date
12/18/2013
Last updated
12/18/2013
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