Provider Demographics
NPI:1124213095
Name:AUSTIN, KARLA M (PHD)
Entity type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:M
Last Name:AUSTIN
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 1:2701 W. IRVING BLVD.
Mailing Address - Street 2:#170189
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75015-0801
Mailing Address - Country:US
Mailing Address - Phone:972-986-0150
Mailing Address - Fax:972-253-2071
Practice Address - Street 1:2701 W. IRVING BLVD.
Practice Address - Street 2:#170189
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75015-0801
Practice Address - Country:US
Practice Address - Phone:972-986-0150
Practice Address - Fax:972-253-2071
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-12
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31237103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling