Individual
DR. NICHELLE HAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1407 W STASSNEY LN, AUSTIN, TX 78745
(512) 440-4800
(512) 440-4835
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(512) 440-4800
(512) 440-4835
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
Q6027
TX
Other
Enumeration date
05/12/2014
Last updated
09/18/2018
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