DR. KRISTY DITZLER


Address: 4110 Guadalupe St, Bldg. #781, Rm. #305, Austin, TX 78751-4223
Phone: 5124520381

DR. KRISTY DITZLER (NPI# 1568526408) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568526408
Entity Type Individual
Full Name DR. KRISTY DITZLER
Practice Address 4110 Guadalupe St
Bldg. #781, Rm. #305
Austin
TX 78751-4223
Mailing Address 4110 Guadalupe St
Austin
TX 78751-4223
Practice Telephone 5124520381
Enumeration Date 2006-12-21
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
30726 TX Behavioral Health & Social Service Providers

Office Location

Street Address 4110 GUADALUPE ST
BLDG. #781, RM. #305
City AUSTIN
State TX
Zip Code 78751-4223

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619972411 Eulon Ross Taylor Psychiatry & Neurology 4110 Guadalupe St, Austin State Hospital, Austin, TX 78751-4223 2005-06-17
1396359261 Laura Adzoa Kumordzie Nurse Practitioner 4110 Guadalupe St, Austin, TX 78751-4223 2020-09-08
1154943462 Lyndsay Brooks Psychologist 4110 Guadalupe St, Austin, TX 78751-4223 2020-05-08
1427684133 Tanya Marie Escobar Occupational Therapist 4110 Guadalupe St, Austin, TX 78751-4223 2020-03-14
1821636663 Victoria Freberg Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2019-12-11
1891272449 Vidisha Rohit Paranjpe Dietitian, Registered 4110 Guadalupe St, Austin, TX 78751-4223 2018-07-26
1205388337 Bayo Olaoye Nurse Practitioner 4110 Guadalupe St, Austin, TX 78751-4223 2016-10-24
1265807028 Ann Wilson Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2015-12-04
1447625298 Sara Jane Vershaw Pharmacist 4110 Guadalupe St, Austin, TX 78751-4223 2015-12-04
1679947204 Escania Nichole Hoyt Registered Nurse 4110 Guadalupe St, Austin, TX 78751-4223 2015-11-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1235657867 Joy Miller Social Worker 4920 N Ih 35 Suite 110, Austin, TX 78751 2017-09-04
1053859306 Metabolic Therapy Inc. Pharmacy 4103 Avenue D, Austin, TX 78751 2017-02-07
1316390438 Hillary Guest Speech-Language Pathologist 5406 Middle Fiskville Rd Apt 410, Austin, TX 78751 2016-07-14
1891151866 Simonek Vision, Pllc Optometrist 1000 E. 41st Street, Suite 120, Austin, TX 78751 2016-01-06
1750771911 Angela Ziskis Psychologist 4110 Gualdalupe Street, Building 794, Specialty Services, Austin, TX 78751 2015-01-27
1750783841 Lizette Araujo Psychologist 5225 North Lamar Blvd., Austin, TX 78751 2014-09-19
1013323724 Matrix Therapy, LLC Clinic/Center 5204 Avenue F, Austin, TX 78751 2014-07-02
1215281738 Elizabeth Ann White Clinical Nurse Specialist 818 East 53rd Street, Austin, TX 78751 2012-11-06
1619259934 Samir K Momin Dentist 1000 E 41st Street, Suite 230, Austin, TX 78751 2011-09-13
1467740753 Gary G. Plakias Technician, Other 5400 N Lamar Blvd, 206b, Austin, TX 78751 2011-07-20
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1184241598 Mellissa Tong Psychologist 113 W 33rd St, Austin, TX 78705-2313 2020-07-01
1235754201 Amanda Max Hilberg Psychologist 5900 Balcones Dr Ste 190, Austin, TX 78731-4295 2020-06-15
1427682871 Charnel Hollier Psychologist 1500 W 38th St Ste 31, Austin, TX 78731-6318 2020-02-25
1053950329 Erin G Underbrink Newins Psychologist 2100 Pipers Field Dr Apt 36, Austin, TX 78758-2548 2020-01-03
1629553953 Pulverman Psychological Services, Pllc Psychologist 3160 Bee Caves Rd Ste 300, Austin, TX 78746-5591 2018-10-02
1770079071 Donna Carpenter Psychologist 3724 Jefferson St Ste 200, Austin, TX 78731-6221 2018-07-10
1942790068 Julia Jeannette Zenteno-montez Psychologist 7901 Metropolis Dr # 11a-2, Austin, TX 78744-3111 2018-05-14
1558861583 Dr. Jillian Racine Psychologist 8140 N Mopac Expy Ste 3-225, Austin, TX 78759-8862 2018-02-16
1063921708 Mariel Smith Cannady Psychologist 4407 Pack Saddle Pass, Austin, TX 78745-1623 2017-09-26
1386161750 Jessica A Peller Psychologist 9701 Brodie Ln Ste 205, Austin, TX 78748-6284 2017-08-27
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Competitor

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City AUSTIN
Zip Code 78751

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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