Provider Demographics
NPI:1306030986
Name:DRUM, DAVID D (PHD)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:D
Last Name:DRUM
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5806 MESA DR
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-3765
Mailing Address - Country:US
Mailing Address - Phone:512-773-1804
Mailing Address - Fax:512-345-9869
Practice Address - Street 1:5806 MESA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3765
Practice Address - Country:US
Practice Address - Phone:512-773-1804
Practice Address - Fax:512-345-9869
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1880103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling