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MARKUS PROVENCE, PHD
PHD
Counseling Psychologist
NPI: 1952920100IndividualAccepts Medicare
Specialties, Licenses & Credentials
Clinical Psychologist
Psychologist — Clinical
Code: 103TC0700X
37537(TX)
Counseling PsychologistPrimary
Psychologist — Counseling
Code: 103TC1900X
37537(TX)
CMS Specialties
PrimaryCLINICAL PSYCHOLOGIST
Education
OTHER
Class of 2016
Contact & Hours
- Address
- 2600 W STASSNEY LN
AUSTIN, TX 78745 - Phone
- (650) 248-7274
Quick Facts
- NPI
- 1952920100
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 10
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