Katie Console

NPI #1225624463 in Bryan, Texas

Provider Information

NPI Number: 1225624463
Entity Type: Individual
Name: Katie Console
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Psychologist
Enumeration Date: Dec 11, 2020
Last Updated: Dec 11, 2020

Practice Location

Address: 8441 HIGHWAY 47
Address 2: CLINICAL BUILDING 1, SUITE 1100
City: Bryan
State: Texas
ZIP Code: 77807
Phone: (979) 436-0700

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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