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CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH NPI 1316370562


NPI Information

NPI: 1316370562
Provider Name: CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH
Classification: Psychologist - 103TC0700X
Entity Type: Organization

Specialization: Clinical

Address:
2504 RAE DELL AVE
AUSTIN, TX
ZIP 78704
Phone: (512) 284-3712
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CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH is a clinical psychologist in Austin, TX. The provider is a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems. CENTRAL TEXAS GERIATRIC BEHAVIORAL HEALTH NPI is 1316370562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2504 RAE DELL AVE
AUSTIN, TX
ZIP 78704-735
Phone: (512) 284-3712
Fax: (855) 700-9866

The provider's authorized official is Joseph Slade Bosarge .
The authorized official title is Ceo and has the following contact phone number (512) 680-3013.

The enumeration date for this NPI number is 8/12/2013 and was last updated on 8/12/2013.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TC0700XPsychologistClinical34161TEXASYes

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

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