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1720043722
MICHAEL DAVID PENTICUFF
AUSTIN, TX
NPI
1720043722
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103T00000X Psychologist
(Licence: TX 2-5038)
Enumeration Date
2006-04-20
Last Update Date
2015-08-04
Business Address
Dr. MICHAEL DAVID PENTICUFF Ph.D.
1707 ENFIELD RD
AUSTIN, TX 78703-3308
Phone number: 512-454-9300
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Mailing Address
Dr. MICHAEL DAVID PENTICUFF Ph.D.
1707 ENFIELD RD
AUSTIN, TX 78703-3308
Phone number: 512-454-9300
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