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NPI Code Detail

MEDICARE: CROSSING POINT CENTER, LLC

MEDICARE: CROSSING POINT CENTER, LLC
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
1103T00000XPsychologist37243
2103T00000XPsychologist37243TX

General Provider Information

NPI Number : 1447787361
Entity Type Code : Organization
Provider Name (Legal Business Name) : CROSSING POINT CENTER, LLC
Provider Business Mailing Address
First Line : 6448 E HWY 290 STE F108
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1042
Country : US
Telephone Number : 512-919-0306
Fax Number :
Provider Business Practice Location Address
First Line : 6448 E HWY 290 STE F108
Second Line :
City : AUSTIN
State : TX
Zip : 78723-1042
Country : US
Telephone Number : 512-919-0306
Fax Number : 512-919-0306
Authorized Official
Title or Position : LICENSED PSYCHOLOGIST/OWNER
Name : MICHELLE EDWARDS
Credential : PHD
Telephone Number : 512-919-0306
Provider Enumeration Date : 05/23/2017
Last Update Date : 05/23/2017

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Directions to “CROSSING POINT CENTER, LLC ” Practice Location

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