MEDICARE: AMY HEMP PREISS PH.D.

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
1	103T00000X	Psychologist	32244	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0017KX	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1699826644
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY HEMP PREISS PH.D.

Provider Business Mailing Address
First Line	:	3810 MEDICAL PKWY STE 232
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-4014
Country	:	US
Telephone Number	:	512-407-8147
Fax Number	:	866-740-4544

Provider Business Practice Location Address
First Line	:	3810 MEDICAL PKWY STE 232
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78756-4014
Country	:	US
Telephone Number	:	512-407-8147
Fax Number	:	866-740-4544

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	07/08/2007

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