Provider Demographics
NPI:1679965917
Name:SPRAGGINS PSYCHOLOGICAL SERVICES, PLLC
Entity type:Organization
Organization Name:SPRAGGINS PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER AND CHIEF CLINICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ANDREA
Authorized Official - Middle Name:B
Authorized Official - Last Name:SPRAGGINS
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:512-448-3221
Mailing Address - Street 1:2222 WESTERN TRAILS BLVD STE 202
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78745-1647
Mailing Address - Country:US
Mailing Address - Phone:512-448-3221
Mailing Address - Fax:512-448-3218
Practice Address - Street 1:2222 WESTERN TRAILS BLVD STE 202
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78745-1647
Practice Address - Country:US
Practice Address - Phone:512-448-3221
Practice Address - Fax:512-448-3218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-24
Last Update Date:2015-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty