Hackworth & Lopez Enterprises PLLC
Psychologist, Clinical Child & Adolescent in Austin, TX. Organization (NPI-2).
NPI number1265568331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1265568331
- Entity type
- Organization (NPI-2)
- Legal business name
- Hackworth & Lopez Enterprises PLLC
- Organization subpart
- No
- Enumeration date
- Feb 25, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC2200X | Psychologist, Clinical Child & Adolescent | 31411 | TX | Yes |
Other names
- Samuel R. Hackworth, Ph.D. (Doing Business As)
Practice location
4601 Spicewood Springs Rd#4-200
Austin, TX 78759-8598
Phone 512-467-1376
Mailing address
4601 Spicewood Springs Rd#4-200
Austin, TX 78759-8598
Authorized official
Samuel R Hackworth
Ceo Psychologist
5124671376
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