Doctor Name: | DR. DAVID D. LANDERS |
NPI Number: | 1184852857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PH.D. |
License Number: | 34013 |
Business Practice Address: | 1301 S Capital Of Texas Hwy Bldg C, Suite 130 West Lake Hills, TX - 787466574 |
Business Phone Number: | 5127796394 |
Business Fax Number: | |
Mailing Address: | Po Box 93066, AUSTIN |
State: | TX |
Postal Code: | 787093066 |
Phone Number: | 5127796394 |
Fax Number: | |
NPI Enumeration Date: | 07/01/2009 |
NPI Last Update Date: | 07/01/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 34013 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |