| Rachel B Stroud Phd Pllc | |
|
3407 W Slaughter Ln Ste A Austin TX 78748-5715 | |
| (803) 414-1994 | |
| Not Available |
| Full Name | Rachel B Stroud Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3407 W Slaughter Ln Ste A, Austin, Texas |
| Authorized Official Name and Position | Rachel Stroud (MANAGING MEMBER) |
| Authorized Official Contact | 8034141994 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel B Stroud Phd Pllc 3407 W Slaughter Ln Ste A Austin TX 78748-5715 Ph: () - | Rachel B Stroud Phd Pllc 3407 W Slaughter Ln Ste A Austin TX 78748-5715 Ph: (803) 414-1994 |
| NPI Number | 1033876727 |
|---|---|
| Provider Enumeration Date | 11/17/2021 |
| Last Update Date | 11/17/2021 |
| Certification Date | 11/17/2021 |
| Medicare PECOS PAC ID | 8325430903 |
|---|---|
| Medicare Enrollment ID | O20220111000390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033876727 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Rachel Stroud |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619259363 PECOS PAC ID: 4981879343 Enrollment ID: I20111213000682 |
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