Georgetown Psychological Services Pllc

NPI #1942504949 in Georgetown, Texas

Provider Information

NPI Number: 1942504949
Entity Type: Organization
Organization Name: Georgetown Psychological Services Pllc
Primary Specialty: Psychologist
Enumeration Date: Jan 5, 2011
Last Updated: Jan 5, 2011

Practice Location

Address: 1604 BOOTY RD
City: Georgetown
State: Texas
ZIP Code: 78628-2646
Phone: (512) 809-3141

Authorized Official

Name: DR. MARY AMANDA JOHNSON
Title: PSYCHOLOGIST
Phone: (512) 809-3141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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