FRED IMUENTINYAN

AUSTIN, TX
NPI1508680174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: TX  40056)
Enumeration Date2024-11-11
Last Update Date2025-01-19
Business Address
Dr. FRED IMUENTINYAN PhD
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number: 817-676-1908
Mailing Address
Dr. FRED IMUENTINYAN PhD
5900 BALCONES DR STE 100
AUSTIN, TX 78731-4298
Phone number: