Search › Texas › 1041C0700X
Mary Mattis, LCSW, LCDC
NPI 1548481195 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2312 Western Trails Blvd
Building D, Suite 404
Austin, TX 78745 - Phone
- (512) 701-7378
- Organisation at this address
- Binaca Gaglani, Pa
Karn Kritsanachaiwanich PaInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2013-03-30
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas