Healthcare Provider Details

I. General information

NPI: 1831339597
Provider Name (Legal Business Name): WILLIAM AVEN SENTER PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2009
Last Update Date: 02/17/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3600 MEMORIAL BLVD
KERRVILLE TX
78028-5768
US

IV. Provider business mailing address

3600 MEMORIAL BLVD
KERRVILLE TX
78028-5768
US

V. Phone/Fax

Practice location:
  • Phone: 830-792-2451
  • Fax: 830-792-2423
Mailing address:
  • Phone: 830-792-2451
  • Fax: 830-792-2423

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number048-0000930
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: