Provider Demographics
NPI:1295813715
Name:TALEBI, HANI (PHD)
Entity type:Individual
Prefix:DR
First Name:HANI
Middle Name:
Last Name:TALEBI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 BEECAVE WOODS DR
Mailing Address - Street 2:SUITE 207E
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6762
Mailing Address - Country:US
Mailing Address - Phone:512-328-3900
Mailing Address - Fax:512-328-3902
Practice Address - Street 1:1015 BEECAVE WOODS DR
Practice Address - Street 2:SUITE 207E
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6762
Practice Address - Country:US
Practice Address - Phone:512-328-3900
Practice Address - Fax:512-328-3902
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2012-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34137103TC0700X
TX34463103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool