Mary Martha Vance PHD

NPI 1083820070 - Psychologist - 103T00000X

NPI Details
NPI 1083820070
Gender Female
Enumeration Date 05/15/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
100A W DEAN KEETON ST
1 UNIVERSITY STATION A3500
AUSTIN TX, 78712-1002, US
Phone (512) 475-6938
Fax (512) 471-8875
Business Location
11651 RIVER OAKS TRL
AUSTIN TX, 78753-2836, US
Phone (512) 585-7317
Fax
Toxanomy
Taxonomy Code 103T00000X
License State Texas
License Number 32564
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According to our database, Dr. Mary Martha Vance PHD NPI is 1083820070, taxonomy code is 103T00000X and license number is 32564, license state is located at Texas. Mary Martha Vance PHD physically located at 100a W Dean Keeton St, Austin TX, 78712-1002. NPI Number Mary Martha Vance PHD has the Individual type.

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1083820070 NPI number is provided on an as is basis without warranty of any kind. 1083820070 is maintained by the National Plan & Provider Enumeration System. The contents of Mary Martha Vance PHD are for informational purposes only.