Provider Demographics
NPI:1366609265
Name:TEMPLE, RICHARD OLIVER (PHD)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:OLIVER
Last Name:TEMPLE
Suffix:
Gender:M
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:PO BOX 419
Mailing Address - Street 2:
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78620-0419
Mailing Address - Country:US
Mailing Address - Phone:512-894-0801
Mailing Address - Fax:512-858-4627
Practice Address - Street 1:400 W HIGHWAY 290 BLDG B
Practice Address - Street 2:SUITE 205
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78620-4379
Practice Address - Country:US
Practice Address - Phone:512-894-0801
Practice Address - Fax:512-858-4627
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2008-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX32760103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist