Organization
AUSTIN ANXIETY AND BEHAVIORAL HEALTH SERVICES
Active
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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