Individual
MS. MARY C TEAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1500 W 6TH ST, AUSTIN, TX 78703-5134
(512) 499-8418
(512) 499-8417
Mailing address
1500 W 6TH ST, AUSTIN, TX 78703-5134
(512) 499-8418
(512) 499-8417
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
21197
TX
Other
Enumeration date
02/09/2007
Last updated
07/08/2007
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