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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC

Active Organization

DEEP EDDY PSYCHOTHERAPY MANAGEMENT, LLC is a Counseling Psychologist organization located in AUSTIN, Texas. NPI 1457740862 is currently active in the NPPES registry. Verify at CMS.

Counseling Psychologist · AUSTIN, TX

Registration Details

NPI Number
1457740862
Provider Type
Organization
NPI Issued
Jan 22, 2015 (11.564688058592 yrs)
Last Updated
Dec 27, 2022
Licenses
34301 (TX)
21274 (TX)
20938 (TX)
33076 (TX)
34890 (TX)

Practice Information

Address
508 DEEP EDDY AVE.
AUSTIN, TX, 78703
Browse TX providers · Browse ZIP 78703
Phone
5129566463
Fax
5124288100
Primary Specialty
Counseling Psychologist
103TC1900X
Additional Specialty
Clinical Psychologist
Additional Specialty
Counseling Psychologist
Additional Specialty
Counseling Psychologist
Additional Specialty
Counseling Psychologist
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.