| Integrity Psychology Of Austin Pllc | |
|
1460 E Whitestone Blvd Ste 260 Cedar Park TX 78613-2284 | |
| (512) 309-5555 | |
| Not Available |
| Full Name | Integrity Psychology Of Austin Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1460 E Whitestone Blvd Ste 260, Cedar Park, Texas |
| Authorized Official Name and Position | Paul S Wachowiak (OWNER, PSYCHOLOGIST) |
| Authorized Official Contact | 3059783670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrity Psychology Of Austin Pllc 1307b N Cuernavaca Dr Austin TX 78733-2637 Ph: (305) 978-3670 | Integrity Psychology Of Austin Pllc 1460 E Whitestone Blvd Ste 260 Cedar Park TX 78613-2284 Ph: (512) 309-5555 |
| NPI Number | 1639699754 |
|---|---|
| Provider Enumeration Date | 06/20/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 7113285404 |
|---|---|
| Medicare Enrollment ID | O20171214000603 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639699754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0004X | Psychologist - Health | 35130 (Texas) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 35130 (Texas) | Secondary |
| Provider Name | Paul S Wachowiak |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164755484 PECOS PAC ID: 1850579533 Enrollment ID: I20110628000641 |
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