Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 2-4953 | TX |
Y | 103T00000X | Psychologist | 2-4953 | TX |
NPI | 1013223007 |
---|---|
Provider Name | Dr. Steven William Stratton |
First Address | Austin, TX 78759 |
Second Address | Austin, TX 78759-8661 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/08/2010 |
Last Update Date | 27/08/2010 |