Individual
ANDREA R. GONTERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 743-0390
(254) 743-0390
Mailing address
4418 HUNTERS LODGE DR, ROUND ROCK, TX 78681-1011
(512) 733-5933
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33203 (PROVISIONAL)
TX
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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