Healthcare Provider Details

I. General information

NPI: 1720186075
Provider Name (Legal Business Name): JOYCE KUTCHER EDD LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5450 BEE CAVE RD SUITE 3A
AUSTIN TX
78746
US

IV. Provider business mailing address

5450 BEE CAVE RD SUITE 3A
AUSTIN TX
78746
US

V. Phone/Fax

Practice location:
  • Phone: 512-691-3950
  • Fax:
Mailing address:
  • Phone: 512-691-3950
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number12203
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: