Samuel Hackworth in Austin - Clinical Child & Adolescent

Samuel Hackworth - NPI 1194928317

Samuel Hackworth is a Clinical Child & Adolescent in Austin, Texas. Samuel Hackworth practices all healthcare services and medical treatments related to Clinical Child & Adolescent. The NPI Number for Samuel Hackworth is 1194928317. The last update date is 2007-07-08.

Samuel Hackworth's current location address is 4601 Spicewood Springs Rd, Austin, Texas. You can contact this provider via phone number 5124671376. The mailing address for Samuel Hackworth is 4601 Spicewood Springs Rd, Austin, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Samuel Hackworth
Address 4601 Spicewood Springs Rd, Austin, Texas
Phone Number 5124671376
Fax Number
Sole Proprietor N
Credentials PH.D.

NPI Number Detail

NPI Number 1194928317
Provider Enumeration Date 2007-06-06
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 4601 Spicewood Springs Rd
City Austin
State Texas (TX)
Post Code 787598598
Phone Number 5124671376
Fax Number

Provider's Primary Taxonomy Detail

Speciality Clinical Child & Adolescent
Taxonomy 103Tc2200X
Licence No 31411
Definition:
A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology

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FAQs about Samuel Hackworth

What is the unique identifier code issued to Samuel Hackworth by the Centers for Medicare & Medicaid Services (CMS)?

The Samuel Hackworth has been assigned the NPI (National Provider Identifier) 1194928317. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Samuel Hackworth is physically located?

The Samuel Hackworth is physically situated at the following address: 4601 Spicewood Springs Rd, Austin, TX, 787598598.

What is Samuel Hackworth's specialized field of practice, and what is the corresponding taxonomy classification code?

The Samuel Hackworth's area of specialization is Clinical Child & Adolescent, and the corresponding taxonomy code that categorizes this field of practice is 103Tc2200X.

On what date did the Samuel Hackworth receive the assignment of its 1194928317 from the Centers for Medicare & Medicaid Services?

The Samuel Hackworth was issued its 1194928317 by the Centers for Medicare & Medicaid Services on 2007-06-06.

As of what date was the information pertaining to Samuel Hackworth, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Samuel Hackworth, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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