Organization
LAVANYA SHANKAR, PHD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAVANYA SHANKAR PH.D. (OWNER/LICENSED PSYCHOLOGIST)
(512) 222-6946
Entity
Organization
Contact information
Practice address
9501 N CAPITAL OF TEXAS HWY, SUITE 104, AUSTIN, TX 78759-6606
(512) 222-6946
Mailing address
9501 N CAPITAL OF TEXAS HWY, SUITE 104, AUSTIN, TX 78759-6606
(512) 222-6946
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34258
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407180672
NPI TYPE 1
—
Enumeration date
02/15/2017
Last updated
02/15/2017
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