| Georgetown Psychological Services Pllc | |
|
1604 Booty Rd Georgetown TX 78628-2646 | |
| (512) 809-3141 | |
| Not Available |
| Full Name | Georgetown Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1604 Booty Rd, Georgetown, Texas |
| Authorized Official Name and Position | Mary Amanda Johnson (PSYCHOLOGIST) |
| Authorized Official Contact | 5128093141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgetown Psychological Services Pllc 1604 Booty Rd Georgetown TX 78628-2646 Ph: (512) 809-3141 | Georgetown Psychological Services Pllc 1604 Booty Rd Georgetown TX 78628-2646 Ph: (512) 809-3141 |
| NPI Number | 1942504949 |
|---|---|
| Provider Enumeration Date | 01/05/2011 |
| Last Update Date | 01/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942504949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 34920 (Texas) | Primary |
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