Provider Demographics
NPI:1780870477
Name:VASQUEZ & ASSOCIATES MENTAL HEALTH SERVICES
Entity type:Organization
Organization Name:VASQUEZ & ASSOCIATES MENTAL HEALTH SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR, PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MELBA
Authorized Official - Middle Name:J
Authorized Official - Last Name:VASQUEZ
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-329-8000
Mailing Address - Street 1:2901 BEE CAVE RD STE N
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78746-5571
Mailing Address - Country:US
Mailing Address - Phone:512-329-8000
Mailing Address - Fax:512-329-8299
Practice Address - Street 1:2901 BEE CAVE RD STE N
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5571
Practice Address - Country:US
Practice Address - Phone:512-329-8000
Practice Address - Fax:512-329-8299
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX2-2529103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounselingGroup - Single Specialty