JOEL DANIEL WYRTZEN LPC NPI 1982852513

NPI Information

NPI: 1982852513
Provider Name: JOEL DANIEL WYRTZEN, LPC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
4409 MEDICAL PKWY
AUSTIN, TX
ZIP 78756
Phone: (512) 697-9613
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Joel Daniel Wyrtzen, LPC is a professional counselor in Austin, TX. Joel Daniel Wyrtzen, LPC NPI is 1982852513. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4409 MEDICAL PKWY
AUSTIN, TX
ZIP 78756-313
Phone: (512) 697-9613

The enumeration date for this NPI number is 9/8/2008 and was last updated on 11/12/2009.

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	101YP2500X	Counselor	Professional	62480	TEXAS	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	1962979-01	MEDICAID	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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