GEORGETOWN PSYCHOLOGICAL SERVICES PLLC
Psychologist at Booty Rd, Georgetown, TX

License number
Texas 34920
Category
Psychologist
Type
Psychologist
Owner
Name: DR. MARY AMANDA JOHNSON
Title: PSYCHOLOGIST
Phone: (512) 809-3141
Address
Address
1604 Booty Rd, Georgetown, TX 78628
National Provider ID: 1942504949
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GEORGETOWN PSYCHOLOGICAL SERVICES, PLLC

1604 Booty Rd, Georgetown, TX 78628

Registration:
Jan 4, 2011
State ID:
0801365164
Business type:
Domestic Limited Liability Company (LLC)
Manager:
Mary Amanda Johnson (Manager), 1604 Booty Xing Rd, Georgetown, TX 78628
TIN:
32043323156

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