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DR. GREGORY S HUPP PH.D.

Clinical Neuropsychologist

Bandera, Texas

Provider NPI: 1962499814

Provider Information:
DR. GREGORY S HUPP PH.D.
Gender: M
Sole Proprietor


Practice Location:
650 STATE HIGHWAY 16 S  BANDERA, TX 78003 US
Tel: 866-679-7901  Fax: 866-541-9162

Business Mailing Address:
PO BOX 2973  BANDERA, TX 78003 US
Tel: 866-679-7901  Fax: 866-541-9162

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103TC0700XBehavioral Health & Social Service Providers
Psychologist
Clinical
TX31593
N103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
TX31593

Other Provider Identifiers:

IssuerNumberStateType
BCBS0036MXTX01
178235101TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







CLINICAL NEUROPSYCHOLOGIST JOBS TX - Page 1

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