Healthcare Provider Details

I. General information

NPI: 1104943265
Provider Name (Legal Business Name): DEBORAH A RICH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 06/16/2025
Certification Date: 06/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1515 S CAPITAL OF TEXAS HWY STE 300&301
AUSTIN TX
78746-6579
US

IV. Provider business mailing address

1515 S CAPITAL OF TEXAS HWY STE 300&301
AUSTIN TX
78746-6579
US

V. Phone/Fax

Practice location:
  • Phone: 832-895-0098
  • Fax:
Mailing address:
  • Phone: 832-895-0098
  • Fax: 586-323-3568

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number40773
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: