Organization
RICHARD O TEMPLE PHD PLLC
Active
Other names
Mind For Sports
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD O TEMPLE PHD (OWNER)
(512) 294-2304
Entity
Organization
Contact information
Practice address
706B W BEN WHITE BLVD, STE 120B, AUSTIN, TX 78704-7153
(512) 318-1833
(512) 852-4771
Mailing address
PO BOX 145, DRIPPING SPRINGS, TX 78620-0145
(512) 318-1833
(512) 852-4771
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
32760
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366609265
RICHARD O TEMPLE'S PERSONAL NPI
TX
Enumeration date
01/14/2014
Last updated
01/14/2014
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