Healthcare Provider Details

I. General information

NPI: 1366609265
Provider Name (Legal Business Name): RICHARD OLIVER TEMPLE PH.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 WEST BEN WHITE BLVD BLDG B STE120
AUSTIN TX
78704
US

IV. Provider business mailing address

PO BOX 145
DRIPPING SPRINGS TX
78620-0145
US

V. Phone/Fax

Practice location:
  • Phone: 512-294-2304
  • Fax: 512-852-4771
Mailing address:
  • Phone: 512-694-9191
  • Fax: 512-852-4771

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number32760
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: