Individual
NICOLAS CARRASCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
314 E HIGHLAND MALL BLVD STE 252, AUSTIN, TX 78752-3766
(512) 845-7105
Mailing address
502 COQUINA LN, WEST LAKE HILLS, TX 78746-4503
(512) 845-2400
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24685
TX
103TF0200X
Forensic Psychologist
9434
TX
Other
Enumeration date
02/05/2007
Last updated
01/12/2023
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