MEDICARE: DR. CLAUDIA CARDENAS PINZON PSYD

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	103TC0700X	Clinical Psychologist	37136	TX

General Provider Information

NPI Number	:	1760603872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLAUDIA CARDENAS PINZON PSYD

Provider Business Mailing Address
First Line	:	13706 RESEARCH BLVD STE 114
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1838
Country	:	US
Telephone Number	:	857-776-7042
Fax Number	:	857-776-7042

Provider Business Practice Location Address
First Line	:	13706 RESEARCH BLVD STE 114
Second Line	:
City	:	AUSTIN
State	:	TX
Zip	:	78750-1838
Country	:	US
Telephone Number	:	857-776-7042
Fax Number	:	857-776-7042

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

Provider Enumeration Date	:	05/02/2007
Last Update Date	:	11/15/2017

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