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Doctors / ID
PSYCHIATRY
Graduated: 2000
Also: ADDICTION MEDICINE
NPI: 1952501322
1509 LANNY LN
MOSCOW, ID 838435130
PO BOX, SUITE 4755
AUSTIN, TX 787654755
PO BOX, SUITE 93042
AUSTIN, TX 787093042
Source: CMS National Downloadable File, September 2026.