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NPI Code Detail

MEDICARE: KATY DAVID M.A., L.P.C

MEDICARE: KATY DAVID M.A., L.P.C
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
1101YP2500XProfessional Counselor69652TX

General Provider Information

NPI Number : 1881092807
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATY DAVID M.A., L.P.C
Provider Business Mailing Address
First Line : 1600 MAPLE AVE # 1
Second Line :
City : AUSTIN
State : TX
Zip : 78702-1405
Country : US
Telephone Number : 512-660-9611
Fax Number : 512-684-0527
Provider Business Practice Location Address
First Line : 1210 ROSEWOOD AVE
Second Line :
City : AUSTIN
State : TX
Zip : 78702-2023
Country : US
Telephone Number : 512-660-9611
Fax Number : 305-832-0971
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2014
Last Update Date : 11/27/2023

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