HEALTH AND HUMAN SERVICES COMMISSION

NPI: 1003823030 · Organization · Active

Primary Specialty

Clinical Neuropsychologist

Practice Location

4110 GUADALUPE ST
AUSTIN, TX 78751-4296 Map ↗
Phone: 512-419-2843
Fax: 512-419-2683

All Specialties & Licenses

  • Clinical Neuropsychologist Primary
  • General Practice Physician
  • Child & Adolescent Psychiatry Physician — Child & Adolescent Psychiatry
  • Forensic Psychiatry Physician — Forensic Psychiatry
  • Geriatric Psychiatry Physician — Geriatric Psychiatry
  • Psychiatry Physician — Psychiatry
  • Psychologist
  • Clinical Psychologist — Clinical
  • Pharmacist
  • Clinical Nurse Specialist
  • Nurse Practitioner
  • Physician Assistant

NPI Registration

Enumerated: 2006-08-02

Last CMS Update: 2024-02-22