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Contact Information

GEORGETOWN PSYCHOTHERAPY, PLLC
518 E HOSPITAL STREET
NACOGDOCHES, TX75961
 Phone: 936-462-8577
 Fax: 936-228-9072
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for GEORGETOWN PSYCHOTHERAPY PLLC · (Female)

NPI Number 1225351794
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2010
Last updated 06/15/2021 - About 5 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX License # 34032
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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