Stallworth, John
Stallworth, John is an sole proprietor health care provider with primary practice located at 4131 Spicewood Springs Rd Suite K-6, Austin TX 78759-8661. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Stallworth, John can be contacted via phone (512) 417-0655.Contact Information
Primary practice address
4131 Spicewood Springs Rd Suite K-6
Austin TX 78759-8661
Phone: (512) 417-0655
Fax: (512) 345-8083
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 22668 | Texas |
Profile Details
NPI number | 1235179383 |
---|---|
LBN Legal business name | Stallworth, John |
Credentials | PH.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 7th, 2006 |
Last updated | Jul 21st, 2021 - 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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