| Revive Psychological Services | |
|
5900 Balcones Dr Ste 8044 Austin TX 78731-4257 | |
| (512) 253-1994 | |
| Not Available |
| Full Name | Revive Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 5900 Balcones Dr Ste 8044, Austin, Texas |
| Authorized Official Name and Position | Clairissa Hunter (CLINICAL PSYCHOLOGIST, OWNER) |
| Authorized Official Contact | 5122531994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Revive Psychological Services 5900 Balcones Dr Ste 8044 Austin TX 78731-4257 Ph: (512) 253-1994 | Revive Psychological Services 5900 Balcones Dr Ste 8044 Austin TX 78731-4257 Ph: (512) 253-1994 |
| NPI Number | 1528844149 |
|---|---|
| Provider Enumeration Date | 09/08/2023 |
| Last Update Date | 09/11/2023 |
| Certification Date | 09/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528844149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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