Engel, Kristie Dawn
Engel, Kristie Dawn is an sole proprietor health care provider with primary practice located at 11701 Bee Caves Rd Ste 213 , Austin TX 78738-6468. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Engel, Kristie Dawn can be contacted via phone (512) 572-4673.Contact Information
Primary practice address
11701 Bee Caves Rd Ste 213
Austin TX 78738-6468
Phone: (512) 572-4673
Fax: (512) 355-6737
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Group Psychotherapy | 103TP2701X | 33629 | Texas |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 33629 | Texas |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 33629 | Texas |
Profile Details
NPI number | 1003013053 |
---|---|
LBN Legal business name | Engel, Kristie Dawn |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 2nd, 2007 |
Last updated | Nov 2nd, 2020 - about 5 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003013053 | NPPES |
Texas | MEDICAID | 1003013053 | |
Texas | Other | 33629 |
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