Provider Demographics
NPI:1376818088
Name:J C-H PSYCHOLOGICAL SOLUTIONS PLLC
Entity Type:Organization
Organization Name:J C-H PSYCHOLOGICAL SOLUTIONS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:CARTER-HAITH
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:979-575-4336
Mailing Address - Street 1:7703 N LAMAR BLVD
Mailing Address - Street 2:SUITE 230
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-1027
Mailing Address - Country:US
Mailing Address - Phone:512-206-4263
Mailing Address - Fax:512-498-0294
Practice Address - Street 1:7703 N LAMAR BLVD
Practice Address - Street 2:SUITE 230
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-1027
Practice Address - Country:US
Practice Address - Phone:512-206-4263
Practice Address - Fax:512-498-0294
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2012-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36030103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty