| Donna Carpenter, Phd, Pllc | |
|
3724 Jefferson St Ste 200 Austin TX 78731-6221 | |
| (512) 720-9068 | |
| Not Available |
| Full Name | Donna Carpenter, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3724 Jefferson St Ste 200, Austin, Texas |
| Authorized Official Name and Position | Donna Carpenter (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 5125160732 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Carpenter, Phd, Pllc 4529 Mattie St Austin TX 78723-5474 Ph: (512) 516-0732 | Donna Carpenter, Phd, Pllc 3724 Jefferson St Ste 200 Austin TX 78731-6221 Ph: (512) 720-9068 |
| NPI Number | 1013560754 |
|---|---|
| Provider Enumeration Date | 07/22/2019 |
| Last Update Date | 07/22/2019 |
| Medicare PECOS PAC ID | 6800124272 |
|---|---|
| Medicare Enrollment ID | O20190822002430 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013560754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Donna Jo Carpenter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770079071 PECOS PAC ID: 8820346935 Enrollment ID: I20180807000803 |
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