Provider Demographics
NPI:1396091211
Name:AESCHBACH JACHMANN, CRISPA JOSEPHINE (MD)
Entity type:Individual
Prefix:DR
First Name:CRISPA
Middle Name:JOSEPHINE
Last Name:AESCHBACH JACHMANN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2824 S CONGRESS AVE
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78704-6423
Mailing Address - Country:US
Mailing Address - Phone:512-444-5092
Mailing Address - Fax:
Practice Address - Street 1:2824 S CONGRESS AVE
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78704-6423
Practice Address - Country:US
Practice Address - Phone:512-444-5092
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-07-29
Last Update Date:2017-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR14822084P0800X
PAMD4576252084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry