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Contact Information

SOCO PSYCHOTHERAPY, INC
4425 MOPAC EXPRESSWAY SOUTH
BLDG II, SUITE 204
AUSTIN, TX78735
 Phone: 512-592-9303
 Fax: 512-597-0668
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Professional

101YP2500X
 

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for SOCO PSYCHOTHERAPY INC · (Female)

NPI # 1427616408
Status Active
Credentials
Entity Individual
Enumeration date 06/04/2019
Last updated 06/11/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • TX Medicaid 1497265730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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