Individual
DR. NEISHA HOOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5555 N LAMAR BLVD STE E125, AUSTIN, TX 78751-1052
(512) 992-0574
Mailing address
11919 MEADOWFIRE DR, AUSTIN, TX 78758-3318
(512) 415-6647
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
31133
TX
Other
Enumeration date
12/10/2018
Last updated
12/10/2018
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