Individual
ALEXANDRA LIN ELLIOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, LP
Contact information
Practice address
2900 N QUINLAN PARK RD STE 250, AUSTIN, TX 78732-6088
(512) 506-1980
(512) 387-9734
Mailing address
2900 N QUINLAN PARK RD STE 250, AUSTIN, TX 78732-6088
(512) 506-1980
(512) 387-9734
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
38457
TX
103T00000X
Psychologist
38457
TX
103TC0700X
Clinical Psychologist
38457
TX
103TC2200X
Clinical Child & Adolescent Psychologist
38457
TX
103TR0400X
Rehabilitation Psychologist
38457
TX
103TS0200X
School Psychologist
38457
TX
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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