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Individual

DR. KRISTIE DAWN ENGEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
11701 BEE CAVES RD STE 213, AUSTIN, TX 78738-6468
(512) 572-4673
(512) 355-6737
Mailing address
PO BOX 2135, CEDAR PARK, TX 78630-2135
(512) 572-4673
(512) 355-6737

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
33629
TX
103TC2200X
Clinical Child & Adolescent Psychologist
33629
TX
103TP2701X
Group Psychotherapy Psychologist
33629
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1003013053
TX
01
33629
TX STATE BOARD OF EXAMINERS OF PSYCHOLOGISTS
TX
Enumeration date
07/02/2007
Last updated
11/02/2020
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