Healthcare Provider Details
I. General information
NPI: 1497667737
Provider Name (Legal Business Name): ACCESS NEUROPSYCHOLOGY OF AUSTIN
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
706 WEST BEN WHITE BLVD BLDG B SUITE 120
AUSTIN TX
78704
US
IV. Provider business mailing address
3903 S CONGRESS AVE P.O. BOX 40295
AUSTIN TX
78704-9998
US
V. Phone/Fax
- Phone: 512-210-1035
- Fax:
- Phone: 512-210-1035
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103G00000X |
| Taxonomy | Clinical Neuropsychologist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ERIN
TIMPERLAKE
Title or Position: CLINICAL PSYCHOLOGIST
Credential: PHD
Phone: 512-210-1035