NPI 1003823030
Health and Human Services Commission
Practice location
- Address
- 4110 Guadalupe St, Austin, TX 78751-4296
- Phone
- (512) 419-2843
- Fax
- (512) 419-2683
- Mailing address
- 4110 Guadalupe St Mc2023, Austin, TX 78751-4223
Authorised official
- Name
- Linda Garnett
- Title
- Program Supervisor
- Phone
- (512) 913-1580
Registered specialties (12)
Clinical Neuropsychologist
Primary
Psychologist
Clinical Psychologist
Pharmacist
Forensic Psychiatry Physician
Psychiatry Physician
Child & Adolescent Psychiatry Physician
Geriatric Psychiatry Physician
General Practice Physician
Physician Assistant
Nurse Practitioner
Clinical Nurse Specialist
Registry record
- NPI
- 1003823030
- Entity type
- Organization
- NPI issued
- 2 Aug 2006
- Record last updated
- 22 Feb 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.