Provider Demographics
NPI:1457449894
Name:KATHY ENGEL PLLC
Entity Type:Organization
Organization Name:KATHY ENGEL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INCORPORATED INDIVIDUAL
Authorized Official - Prefix:DR
Authorized Official - First Name:KATHY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:ENGEL
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:512-346-5796
Mailing Address - Street 1:4810 B SPICEWOOD SPRINGS ROAD
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759
Mailing Address - Country:US
Mailing Address - Phone:512-346-5796
Mailing Address - Fax:512-346-8509
Practice Address - Street 1:4810 B SPICEWOOD SPRINGS ROAD
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759
Practice Address - Country:US
Practice Address - Phone:512-346-5796
Practice Address - Fax:512-346-8509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32389103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
87141AOtherBCBS