ANNELISA HELENE PEDERSEN PHD NPI 1356589683

NPI Information

NPI: 1356589683
Provider Name: ANNELISA HELENE PEDERSEN, PHD
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
2222 WESTERN TRAILS BLVD STE 107
AUSTIN, TX
ZIP 78745
Phone: (512) 815-3814
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Annelisa Helene Pedersen, PHD is a mental health counselor in Austin, TX. Annelisa Helene Pedersen, PHD NPI is 1356589683. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2222 WESTERN TRAILS BLVD STE 107
AUSTIN, TX
ZIP 78745-601
Phone: (512) 815-3814

The enumeration date for this NPI number is 1/23/2009 and was last updated on 6/22/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TC0700X	Psychologist	Clinical	38061	TEXAS	No
2	101YM0800X	Counselor	Mental Health			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1356589683	OTHER	TEXAS	BCBSTX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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