Individual
DR. JENNIFER VANE MELROSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4409 MEDICAL PKWY, AUSTIN, TX 78756-3313
(512) 495-9556
Mailing address
6704 VALBURN DR, AUSTIN, TX 78731-1802
(512) 608-4079
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
32530
TX
103TC1900X
Counseling Psychologist
32530
TX
Other
Enumeration date
09/16/2006
Last updated
02/06/2008
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