Samuel Hackworth PH.D.

NPI 1194928317 - Psychologist - 103TC2200X

NPI Details
NPI 1194928317
Gender Male
Enumeration Date 06/06/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
4601 SPICEWOOD SPRINGS RD
#4-200
AUSTIN TX, 78759-8598, US
Phone (512) 467-1376
Fax
Business Location
4601 SPICEWOOD SPRINGS RD
#4-200
AUSTIN TX, 78759-8598, US
Phone
Fax
Toxanomy
Taxonomy Code 103TC2200X
License State Texas
License Number 31411
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According to our database, Dr. Samuel Hackworth PH.D. NPI is 1194928317, taxonomy code is 103TC2200X and license number is 31411, license state is located at Texas. Samuel Hackworth PH.D. physically located at 4601 Spicewood Springs Rd, Austin TX, 78759-8598. NPI Number Samuel Hackworth PH.D. has the Individual type.

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1194928317 NPI number is provided on an as is basis without warranty of any kind. 1194928317 is maintained by the National Plan & Provider Enumeration System. The contents of Samuel Hackworth PH.D. are for informational purposes only.