Patricia Jane Micklos PSY.D.

NPI 1033110812 - Psychologist - 103TC0700X

NPI Details
NPI 1033110812
Gender Female
Enumeration Date 08/03/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
900 AUSTIN AVE
SUITE 500
WACO TX, 76701-1902, US
Phone (254) 753-7444
Fax (254) 714-1737
Business Location
900 AUSTIN AVE
SUITE 500
WACO TX, 76701-1902, US
Phone (254) 753-7444
Fax (254) 714-1737
Toxanomy
Taxonomy Code 103TC0700X
License State Texas
License Number 22596
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According to our database, Dr. Patricia Jane Micklos PSY.D. NPI is 1033110812, taxonomy code is 103TC0700X and license number is 22596, license state is located at Texas. Patricia Jane Micklos PSY.D. physically located at 900 Austin Ave, Waco TX, 76701-1902. NPI Number Patricia Jane Micklos PSY.D. has the Individual type.

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1033110812 NPI number is provided on an as is basis without warranty of any kind. 1033110812 is maintained by the National Plan & Provider Enumeration System. The contents of Patricia Jane Micklos PSY.D. are for informational purposes only.