Healthcare Provider Details

I. General information

NPI: 1982135489
Provider Name (Legal Business Name): STEPHANIE CUTLER PINSON LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2017
Last Update Date: 03/01/2022
Certification Date: 03/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

115 KOHLERS XING STE 330
KYLE TX
78640-2467
US

IV. Provider business mailing address

115 KOHLERS XING STE 330
KYLE TX
78640-2467
US

V. Phone/Fax

Practice location:
  • Phone: 512-593-2330
  • Fax:
Mailing address:
  • Phone: 512-593-2330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number59832
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: