MEDICARE: DOREEN FRIMPONG-BRAGO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	40038	TX

General Provider Information

NPI Number	:	1508597923
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DOREEN FRIMPONG-BRAGO

Provider Business Mailing Address
First Line	:	2204 WESTERN TRAILS BLVD # 104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1641
Country	:	US
Telephone Number	:	737-231-1507
Fax Number	:

Provider Business Practice Location Address
First Line	:	2204 WESTERN TRAILS BLVD # 104
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78745-1641
Country	:	US
Telephone Number	:	737-231-1507
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	01/20/2026

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Directions to “ DOREEN FRIMPONG-BRAGO ” Practice Location

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