Poole, Chardonnay Nicole
Poole, Chardonnay Nicole is an sole proprietor health care provider with primary practice located at 2222 Western Trails Blvd Ste 202 , Austin TX 78745-1647. She recently has only one registered license in Behavioral Health & Social Service Providers / Forensic, which is considered as her primary health care specialty. Poole, Chardonnay Nicole can be contacted via phone (512) 448-3221.Contact Information
Primary practice address
2222 Western Trails Blvd Ste 202
Austin TX 78745-1647
Phone: (512) 448-3221
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 36008 | Texas |
Profile Details
| NPI number | 1366793309 |
|---|---|
| LBN Legal business name | Poole, Chardonnay Nicole |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2012 |
| Last updated | Feb 10th, 2020 - about 4 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.
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