| Austin Neuropsychology Pllc | |
|
711 W 38th St Bldg F2 Austin TX 78705-1121 | |
| (512) 637-5841 | |
| (512) 637-5997 |
| Full Name | Austin Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 711 W 38th St, Austin, Texas |
| Authorized Official Name and Position | Melissa Bunner (OFFICER) |
| Authorized Official Contact | 5126375841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Neuropsychology Pllc 711 W 38th St Bldg F2 Austin TX 78705-1121 Ph: (512) 637-5841 | Austin Neuropsychology Pllc 711 W 38th St Bldg F2 Austin TX 78705-1121 Ph: (512) 637-5841 |
| NPI Number | 1871667808 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 04/18/2023 |
| Certification Date | 04/18/2023 |
| Medicare PECOS PAC ID | 7618074766 |
|---|---|
| Medicare Enrollment ID | O20070524000132 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871667808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
| Provider Name | David M Tucker |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1033217591 PECOS PAC ID: 1658277785 Enrollment ID: I20070524000184 |
| Provider Name | Douglas Gregory Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598950040 PECOS PAC ID: 8123118353 Enrollment ID: I20071212000276 |
| Provider Name | Leslie Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1740956184 PECOS PAC ID: 3375940026 Enrollment ID: I20210922002005 |
| Provider Name | Alexandra Leigh Clark |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831755537 PECOS PAC ID: 5799148433 Enrollment ID: I20230829002849 |
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