Individual
DR. ERIKA JANE VIVYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
205 WILD BASIN #3 SUITE 202, AUSTIN, TX 78746
(512) 246-7225
Mailing address
205 WILD BASIN #3 SUITE 202, AUSTIN, TN 78746
(512) 246-7225
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
37950
TX
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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