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1063281038
YOUR PSYCH NP LLC
AUSTIN, TX
NPI
1063281038
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Entity Type
Organization
Authorized Contact
TRECY BERGEN
Pmhnp Bc
828-482-2174
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-01-01
Last Update Date
2024-02-22
Business Address
YOUR PSYCH NP LLC
612 W 22ND ST
AUSTIN, TX 78705-5104
Phone number: 512-515-9434
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Mailing Address
YOUR PSYCH NP LLC
1304 FERNWOOD RD
AUSTIN, TX 78722-1028
Phone number: 828-482-2174
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