Individual
DR. JOHN STALLWORTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
4131 SPICEWOOD SPRINGS RD, SUITE K-6, AUSTIN, TX 78759-8661
(512) 417-0655
(512) 345-8083
Mailing address
4131 SPICEWOOD SPRINGS RD, SUITE K-6, AUSTIN, TX 78759-8661
(512) 417-0655
(512) 345-8083
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
22668
TX
Other
Enumeration date
06/07/2006
Last updated
07/21/2021
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