Provider Demographics
NPI:1053950329
Name:NEWINS, ERIN G UNDERBRINK (PHD)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:G UNDERBRINK
Last Name:NEWINS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5750 BALCONES DR STE 106
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4268
Mailing Address - Country:US
Mailing Address - Phone:512-814-5009
Mailing Address - Fax:
Practice Address - Street 1:5750 BALCONES DR STE 106
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-4268
Practice Address - Country:US
Practice Address - Phone:512-814-5009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-03
Last Update Date:2023-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38380103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical