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Individual

JAMES MIKE ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
12741 RESEARCH BLVD STE 300, AUSTIN, TX 78759-4329
(512) 983-1120
Mailing address
12741 RESEARCH BLVD STE 300, AUSTIN, TX 78759-4329
(512) 983-1120

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33227
TX

Other

Enumeration date
11/28/2006
Last updated
07/16/2007
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