| Sally Lineback, Phd, Pllc | |
|
2525 Wallingwood Dr Ste 701 Austin TX 78746-6929 | |
| (512) 763-2726 | |
| Not Available |
| Full Name | Sally Lineback, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2525 Wallingwood Dr Ste 701, Austin, Texas |
| Authorized Official Name and Position | Sarah Lineback (OWNER, LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5124705063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sally Lineback, Phd, Pllc 7504 Spivey Dr Austin TX 78749-2184 Ph: (512) 470-5063 | Sally Lineback, Phd, Pllc 2525 Wallingwood Dr Ste 701 Austin TX 78746-6929 Ph: (512) 763-2726 |
| NPI Number | 1063141612 |
|---|---|
| Provider Enumeration Date | 06/08/2022 |
| Last Update Date | 06/16/2022 |
| Certification Date | 06/16/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063141612 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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