Healthcare Provider Details

I. General information

NPI: 1043649478
Provider Name (Legal Business Name): KUHLMAN PSYCHOLOGICAL, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/06/2013
Last Update Date: 11/06/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1102 W 6TH ST SUITE 200
AUSTIN TX
78703-5304
US

IV. Provider business mailing address

12410 BLOSSOMWOOD DR
AUSTIN TX
78727-5302
US

V. Phone/Fax

Practice location:
  • Phone: 512-981-5942
  • Fax:
Mailing address:
  • Phone: 901-483-5942
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number36519
License Number StateTX

VIII. Authorized Official

Name: JAMIE THOMAS KUHLMAN
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D
Phone: 512-981-5942