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Organization

JIM WHITEFIELD, PH.D PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JAMES MACK WHITEFIELD PH.D. (PSYCHOLOGIST/OWNER)
(512) 965-7596
Entity
Organization

Contact information

Practice address
4413 SPICEWOOD SPRINGS RD STE 123, AUSTIN, TX 78759-8580
(512) 965-7596
(512) 505-2790
Mailing address
4413 SPICEWOOD SPRINGS RD STE 123, AUSTIN, TX 78759-8580
(512) 965-7596
(512) 505-2790

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
103T00000X
Psychologist
Primary
103TB0200X
Cognitive & Behavioral Psychologist
103TC1900X
Counseling Psychologist
103TC2200X
Clinical Child & Adolescent Psychologist
103TF0000X
Family Psychologist
103TH0100X
Health Service Psychologist
103TS0200X
School Psychologist

Other

Enumeration date
07/07/2022
Last updated
07/20/2022
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