Individual
DR. SUSANNE H. NISHINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
7408 BETHUNE AVE, AUSTIN, TX 78752-1612
(512) 383-8217
Mailing address
PO BOX 16555, AUSTIN, TX 78761-6555
(512) 383-8217
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
33324
TX
174400000X
Specialist
33324
TX
Other
Enumeration date
03/05/2007
Last updated
09/11/2025
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