Organization
STUART AND FRAZIER, AUSTIN PSYCHOLOGISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICIA RUTH STUART PHD (SOLE PROPRIETOR)
(512) 454-5323
Entity
Organization
Contact information
Practice address
603 W 18TH ST, AUSTIN, TX 78701-1166
(512) 454-5323
(512) 346-1923
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE G-5, AUSTIN, TX 78759-8661
(512) 454-5323
(512) 346-1923
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
24397
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780694471
EMPLOYEE NPI
TX
01
—
1881700938
INDIVIDUAL NPI
TX
Enumeration date
11/05/2016
Last updated
11/05/2016
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