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NPI Code Detail

MEDICARE: DR. JANET SCARBOROUGH CIVITELLI PH.D.

MEDICARE:  DR. JANET SCARBOROUGH CIVITELLI  PH.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103T00000XPsychologist34252TX

General Provider Information

NPI Number : 1336691708
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANET SCARBOROUGH CIVITELLI PH.D.
Provider Business Mailing Address
First Line : 1401 LAVACA ST STE 40896
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1634
Country : US
Telephone Number : 512-348-8468
Fax Number : 512-265-9722
Provider Business Practice Location Address
First Line : 1401 LAVACA ST STE 40896
Second Line :
City : AUSTIN
State : TX
Zip : 78701-1634
Country : US
Telephone Number : 512-348-8468
Fax Number : 512-265-9722
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2016
Last Update Date : 09/16/2024

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Directions to “ DR. JANET SCARBOROUGH CIVITELLI PH.D.” Practice Location

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