Organization
BRIDGES ACADEMY AUSTIN
Active
Organization
BRIDGES ACADEMY AUSTIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDRA ELLIOT PHD, LP (LICENSED PSYCHOLOGIST)
(512) 506-1980
Entity
Organization
Contact information
Practice address
2900 N QUINLAN PARK RD STE 250, AUSTIN, TX 78732-6088
(512) 506-1980
(512) 387-9734
Mailing address
2900 N QUINLAN PARK RD STE 250, AUSTIN, TX 78732-6088
(512) 506-1980
(512) 387-9734
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TS0200X
School Psychologist
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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