Organization
RIDGEVIEW ENTERPRISES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HANI TALEBI PH.D. (MANAGER)
(805) 252-0303
Entity
Organization
Contact information
Practice address
1015 BEECAVE WOODS DR, SUITE 207E, AUSTIN, TX 78746-6762
(512) 328-3900
(512) 328-3902
Mailing address
1015 BEECAVE WOODS DR, SUITE 207E, AUSTIN, TX 78746-6762
(512) 328-3900
(512) 328-3902
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
34137
TX
103TS0200X
School Psychologist
34463
TX
Other
Enumeration date
07/11/2012
Last updated
07/11/2012
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