Organization
WESTLAKE PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA MICHELLE MOHLMAN PH.D. (OWNER)
(512) 917-1307
Entity
Organization
Contact information
Practice address
1301 S CAPITAL OF TEXAS HWY, SUITE C-130, WEST LAKE HILLS, TX 78746-6574
(512) 917-1307
Mailing address
1921 KENWOOD AVE, AUSTIN, TX 78704-3633
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
32520
TX
103TC1900X
Counseling Psychologist
32520
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
32520
TX
103TF0000X
Family Psychologist
32520
TX
103TH0004X
Health Psychologist
32520
TX
Other
Enumeration date
12/13/2009
Last updated
12/13/2009
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