Provider Demographics
NPI:1396806063
Name:VEXLER, STUART A (PHD)
Entity type:Individual
Prefix:DR
First Name:STUART
Middle Name:A
Last Name:VEXLER
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 1:605 BAYLOR ST
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78703-5324
Mailing Address - Country:US
Mailing Address - Phone:512-773-9020
Mailing Address - Fax:
Practice Address - Street 1:605 BAYLOR ST
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78703-5324
Practice Address - Country:US
Practice Address - Phone:512-773-9020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22067103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist