Individual
DR. LIAM K MANCUSO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
845 S LILLIAN ST, STE A, STEPHENVILLE, TX 76401-5166
(832) 954-5546
Mailing address
126 BYRON ST, STEPHENVILLE, TX 76401-4602
(832) 954-5546
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33426
TX
103TC1900X
Counseling Psychologist
33426
TX
Other
Enumeration date
08/03/2008
Last updated
09/14/2016
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