Doctor Name: | AMY HUEBEL |
NPI Number: | 1639582117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 69449 |
Business Practice Address: | 1715 Fm 1626 Suite 103 Manchaca, TX - 786523553 |
Business Phone Number: | 5126321207 |
Business Fax Number: | |
Mailing Address: | 1506a Eastside Drive, AUSTIN |
State: | TX |
Postal Code: | 78704 |
Phone Number: | 5126321207 |
Fax Number: | |
NPI Enumeration Date: | 06/03/2014 |
NPI Last Update Date: | 06/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 69449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |