| Austin Psychological And Testing Center | |
|
2403 W Ben White Blvd Austin TX 78704-7534 | |
| (512) 707-2782 | |
| (512) 707-2783 |
| Full Name | Austin Psychological And Testing Center |
|---|---|
| Speciality | Psychologist |
| Location | 2403 W Ben White Blvd, Austin, Texas |
| Authorized Official Name and Position | Kelley H. Ahr (PRESIDENT/OWNER) |
| Authorized Official Contact | 5127072782 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Austin Psychological And Testing Center 2403 W Ben White Blvd Austin TX 78704-7534 Ph: (512) 707-2782 | Austin Psychological And Testing Center 2403 W Ben White Blvd Austin TX 78704-7534 Ph: (512) 707-2782 |
| NPI Number | 1477668002 |
|---|---|
| Provider Enumeration Date | 08/21/2006 |
| Last Update Date | 03/23/2009 |
| Medicare PECOS PAC ID | 7810053162 |
|---|---|
| Medicare Enrollment ID | O20090311000562 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477668002 | NPI | - | NPPES |
| 157230702 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 30541 (Texas) | Primary |
| Provider Name | Kelley Ahr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578670998 PECOS PAC ID: 0749269215 Enrollment ID: I20090311000546 |
| Provider Name | Kandi R Stull |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700411824 PECOS PAC ID: 9537570403 Enrollment ID: I20201125000130 |
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