Provider Demographics
NPI:1619006756
Name:RUMSEY, SALLY DOYLE (LPC)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:DOYLE
Last Name:RUMSEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10505 SPICEWOOD PKWY
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-3303
Mailing Address - Country:US
Mailing Address - Phone:512-645-9388
Mailing Address - Fax:
Practice Address - Street 1:13625 POND SPRINGS RD
Practice Address - Street 2:SUITE 104
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78729-4427
Practice Address - Country:US
Practice Address - Phone:512-645-9388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2017-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX63417101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health