Provider Demographics
NPI:1770679193
Name:DOOLEY, ALFRED ROBERTS (EDD)
Entity Type:Individual
Prefix:DR
First Name:ALFRED
Middle Name:ROBERTS
Last Name:DOOLEY
Suffix:
Gender:M
Credentials:EDD
Other - Prefix:DR
Other - First Name:FRED
Other - Middle Name:
Other - Last Name:DOOLEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:EDD
Mailing Address - Street 1:1900 CEDAR RIDGE DR.
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78741-3904
Mailing Address - Country:US
Mailing Address - Phone:512-445-2315
Mailing Address - Fax:512-445-2315
Practice Address - Street 1:2107 N. MAYS
Practice Address - Street 2:STE. 101
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2155
Practice Address - Country:US
Practice Address - Phone:512-828-0800
Practice Address - Fax:512-445-2315
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX02372103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00TN 32OtherBC/BS