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Contact Information

NICOLAS CARRASCO, PHD
314 E HIGHLAND MALL BLVD STE 252
AUSTIN, TX78752-3766
 Phone: 512-845-7105
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for NICOLAS CARRASCO · (Male)

NPI # 1588703813
Status Active
Credentials PHD
Entity Individual
Enumeration date 02/05/2007
Last updated 01/12/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # 24685
  • TX License # 9434
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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