Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC2200X | Clinical Child & Adolescent Psychologist | 36550 | TX |
NPI | 1083047880 |
---|---|
Provider Name | Dr. Laura Elizabeth Amoscato |
First Address | Cedar Park, TX 78613-3999 |
Second Address | Cedar Park, TX 78613-3999 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2013 |
Last Update Date | 15/08/2013 |