Provider Demographics
NPI:1558749689
Name:MARKLE SERVICES LLC
Entity Type:Organization
Organization Name:MARKLE SERVICES LLC
Other - Org Name:DR. MINDA M. MARKLE, PH.D.
Other - Org Type:Other Name
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST/NEUROPSYCHOLO
Authorized Official - Prefix:DR
Authorized Official - First Name:MINDA
Authorized Official - Middle Name:MARLENE
Authorized Official - Last Name:MARKLE
Authorized Official - Suffix:
Authorized Official - Credentials:MAPHDABPP
Authorized Official - Phone:512-766-4632
Mailing Address - Street 1:2630 EXPOSITION BLVD
Mailing Address - Street 2:STE G12
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-1761
Mailing Address - Country:US
Mailing Address - Phone:512-766-4632
Mailing Address - Fax:512-433-6732
Practice Address - Street 1:2630 EXPOSITION BLVD
Practice Address - Street 2:STE G12
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-1761
Practice Address - Country:US
Practice Address - Phone:512-766-4632
Practice Address - Fax:512-433-6732
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-08
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX36991103G00000X, 103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Multi-Specialty
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty