Individual
KEVIN DOUGLAS STARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1600 W 38TH ST STE 212, AUSTIN, TX 78731-6405
(512) 324-3315
(512) 324-3314
Mailing address
1600 W 38TH ST STE 212, AUSTIN, TX 78731-6405
(512) 324-3315
(512) 324-3314
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
2-3732
TX
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
2-3732
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
328753401
—
TX
05
—
328753402
—
TX
05
—
328753403
—
TX
Enumeration date
11/11/2008
Last updated
12/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us