Organization
AUSTIN ANXIETY AND BEHAVIORAL HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MISTI NICHOLSON PSYD (OWNER)
(512) 568-2927
Entity
Organization
Contact information
Practice address
3000 JOE DIMAGGIO BLVD, STE 66, ROUND ROCK, TX 78665-3922
(512) 568-2927
Mailing address
3000 JOE DIMAGGIO BLVD, STE 66, ROUND ROCK, TX 78665-3922
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
36270
TX
Other
Enumeration date
12/19/2012
Last updated
12/19/2012
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