Provider Demographics
NPI:1770995045
Name:AK CHASE & ASSOCIATES, INC
Entity type:Organization
Organization Name:AK CHASE & ASSOCIATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:K
Authorized Official - Last Name:CHASE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-347-9992
Mailing Address - Street 1:2525 WALLINGWOOD DR
Mailing Address - Street 2:BUILDING 8, SUITE 800
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-6900
Mailing Address - Country:US
Mailing Address - Phone:512-347-9992
Mailing Address - Fax:512-306-1403
Practice Address - Street 1:2525 WALLINGWOOD DR
Practice Address - Street 2:BUILDING 8, SUITE 800
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-6900
Practice Address - Country:US
Practice Address - Phone:512-347-9992
Practice Address - Fax:512-306-1403
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-21
Last Update Date:2014-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX66434101Y00000X
TX36621103T00000X
TX32120103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty