Dr. Virginia Ellen Livesay, PhD
Psychologist, Clinical in Georgetown, TX. Individual provider (NPI-1).
NPI number1316984792
StatusActive
Last updated in NPPESMar 12, 2013
Details
- NPI
- 1316984792
- Entity type
- Individual (NPI-1)
- Name
- Dr. Virginia Ellen Livesay
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 2, 2006
- Last updated
- Mar 12, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 31428 | TX | Yes |
Practice location
903 Forest StGeorgetown, TX 78626
Phone 512-864-9570 · Fax 512-864-9570
Mailing address
903 Forest StGeorgetown, TX 78626
Phone 512-864-9570 · Fax 512-864-9570
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