Provider Demographics
NPI:1093049405
Name:ROJAS SEGURA, NATALIA (MA)
Entity Type:Individual
Prefix:
First Name:NATALIA
Middle Name:
Last Name:ROJAS SEGURA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 BRODIE LN APT 813
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-2534
Mailing Address - Country:US
Mailing Address - Phone:512-870-7917
Mailing Address - Fax:
Practice Address - Street 1:4534 WESTGATE BLVD
Practice Address - Street 2:STE 112
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1468
Practice Address - Country:US
Practice Address - Phone:512-439-7360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-01
Last Update Date:2009-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist