Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 4161 | TX |
N | 103T00000X | Psychologist | 4161 | TX |
N | 103G00000X | Clinical Psychologist | 24161 | TX |
N | 103TC0700X | Clinical Psychologist | 24161 | TX |
Y | 103TC1900X | Counseling Psychologist | 4161 | TX |
NPI | 1013998657 |
---|---|
Provider Name | Dr. James L Linn |
First Address | Austin, TX 78746 |
Second Address | Austin, TX 78746 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/11/2005 |
Last Update Date | 30/01/2014 |