Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 81150 | TX |
NPI | 1003373747 |
---|---|
Provider Name | Deepika Kaushik |
First Address | Austin, TX 78727-6320 |
Second Address | Austin, TX 78727-6320 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/03/2019 |
Last Update Date | 01/03/2019 |