Organization
GLEN FOREST PSYCHOLOGICAL SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON DAVIS PSYD (CLINICAL PSYCHOLOGIST)
(512) 767-1136
Entity
Organization
Contact information
Practice address
3006 BEE CAVES RD STE A212, AUSTIN, TX 78746-5767
(512) 767-1136
Mailing address
3006 BEE CAVES RD STE A212, AUSTIN, TX 78746-5767
(512) 767-1136
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PS017720
PA
Other
Enumeration date
04/10/2018
Last updated
11/02/2021
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