Healthcare Provider Details

I. General information

NPI: 1447160833
Provider Name (Legal Business Name): NATHAN LEE KRANTZ PSYD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2121 S LAMAR BLVD STE 200
AUSTIN TX
78704-4948
US

IV. Provider business mailing address

1011 E 5TH ST APT 1371
AUSTIN TX
78702-4063
US

V. Phone/Fax

Practice location:
  • Phone: 512-675-1262
  • Fax:
Mailing address:
  • Phone: 516-659-4347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: