Individual
MARIE MARANATHA MAKASIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Credential
PHD
Contact information
Practice address
2401 ALDRICH ST APT 412, AUSTIN, TX 78723-2123
(512) 609-0729
Mailing address
2401 ALDRICH ST APT 412, AUSTIN, TX 78723-2123
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
40982
TX
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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