Organization
NICOLAS CARRASCO, PHD., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLAS CARRASCO PHD (LICENSED CLINICAL PSYCHOLOGIST)
(512) 845-7105
Entity
Organization
Contact information
Practice address
314 E HIGHLAND MALL BLVD STE 252, AUSTIN, TX 78752-3766
(512) 845-2400
Mailing address
502 COQUINA LN, WEST LAKE HILLS, TX 78746-4503
(512) 845-2400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
03/07/2023
Last updated
03/07/2023
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