Organization
OT CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DENISE DIEM RAY M. ED (BEHAVIOR THERAPIST)
(540) 379-9645
Entity
Organization
Contact information
Practice address
2415 PECAN ST W STE 100, PFLUGERVILLE, TX 78660-3670
(512) 251-3230
Mailing address
2415 PECAN ST W STE 100, PFLUGERVILLE, TX 78660-3670
(512) 251-3230
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/12/2013
Last updated
08/12/2013
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