Transitions Neuropsychology Of Austin | |
1221 W Ben White Blvd Austin TX 78704-7192 | |
(512) 399-0109 | |
Not Available |
Full Name | Transitions Neuropsychology Of Austin |
---|---|
Speciality | Psychologist |
Location | 1221 W Ben White Blvd, Austin, Texas |
Authorized Official Name and Position | Erin Logue (PRINCIPAL) |
Authorized Official Contact | 5123990109 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Transitions Neuropsychology Of Austin Po Box 41921 Austin TX 78704-0033 Ph: () - | Transitions Neuropsychology Of Austin 1221 W Ben White Blvd Austin TX 78704-7192 Ph: (512) 399-0109 |
NPI Number | 1871132118 |
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Provider Enumeration Date | 01/03/2020 |
Last Update Date | 01/03/2020 |
Certification Date | 01/03/2020 |
Medicare PECOS PAC ID | 0244667277 |
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Medicare Enrollment ID | O20200303001984 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871132118 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
Provider Name | Erin M Logue |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1619351806 PECOS PAC ID: 8123323789 Enrollment ID: I20160219001787 |
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