Healthcare Provider Details

I. General information

NPI: 1760371470
Provider Name (Legal Business Name): HALEY CONROY BUSCH PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2025
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5900 BALCONES DR #19107
AUSTIN TX
78731-4257
US

IV. Provider business mailing address

5900 BALCONES DRIVE #19107
AUSTIN TX
78731
US

V. Phone/Fax

Practice location:
  • Phone: 512-348-7640
  • Fax:
Mailing address:
  • Phone: 512-709-2851
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number39485
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: