Healthcare Provider Details

I. General information

NPI: 1982989463
Provider Name (Legal Business Name): LONESTAR PSYCHOLOGICAL SERVICES, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2011
Last Update Date: 02/27/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1016 LA POSADA DR STE 285
AUSTIN TX
78752-3817
US

IV. Provider business mailing address

1016 LA POSADA DR STE 285
AUSTIN TEXAS
78752
UM

V. Phone/Fax

Practice location:
  • Phone: 512-206-0808
  • Fax: 512-206-0844
Mailing address:
  • Phone: 512-206-0808
  • Fax: 512-206-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: RICHARD K YUEN
Title or Position: OWNER
Credential: PHD
Phone: 512-206-0808