Healthcare Provider Details
I. General information
NPI: 1265705669
Provider Name (Legal Business Name): SABRINA STIRLING AUSTIN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 02/15/2012
Last Update Date: 03/28/2024
Certification Date: 03/28/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5055 W PARK BLVD STE 400
PLANO TX
75093-2590
US
IV. Provider business mailing address
2200 RIDGEWOOD
CARROLLTON TX
75006-1906
US
V. Phone/Fax
- Phone: 214-820-9413
- Fax:
- Phone: 469-420-0016
- Fax: 469-732-3694
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 103TH0004X |
| Taxonomy | Health Psychologist |
| License Number | 36180 |
| License Number State | TX |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 103TC0700X |
| Taxonomy | Clinical Psychologist |
| License Number | 36180 |
| License Number State | TX |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: