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NPI Code Detail

MEDICARE: TALIA CARMEN RICE MA, LPC

MEDICARE: TALIA CARMEN RICE MA, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor69164TX

General Provider Information

NPI Number : 1174177661
Entity Type Code : Individual
Provider Name (Legal Business Name) : TALIA CARMEN RICE MA, LPC
Provider Business Mailing Address
First Line : 8956 RESEARCH BLVD BLDG 2
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5969
Country : US
Telephone Number : 512-451-7337
Fax Number :
Provider Business Practice Location Address
First Line : 8956 RESEARCH BLVD BLDG 2
Second Line :
City : AUSTIN
State : TX
Zip : 78758-5969
Country : US
Telephone Number : 512-451-7337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/01/2019
Last Update Date : 03/17/2020

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