Individual provider · Type 1 NPI
Mary Ann Thamaravelil Gansle, PhD
Psychologist · Portland, TX
Practice location
1700 Wildcat Dr, Suite D
Portland, TX 78374-2817
Fax (888) 413-3010
Mailing address
1019 Forest Oak
Portland, TX 78374-4153
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 35139 (TX) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
4 other providers at this address
Other psychologist providers in Portland
About NPI 1386921674
Mary Ann Thamaravelil Gansle, PhD's National Provider Identifier is 1386921674, issued on Nov 15, 2011. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Portland, TX. The record was last updated on Nov 17, 2011.