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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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