Provider Demographics
NPI:1417006586
Name:PUGH-WESTLYN, MARTA EILEEN (PH,D)
Entity type:Individual
Prefix:DR
First Name:MARTA
Middle Name:EILEEN
Last Name:PUGH-WESTLYN
Suffix:
Gender:F
Credentials:PH,D
Other - Prefix:
Other - First Name:MARTA
Other - Middle Name:EILEEN
Other - Last Name:PUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHD
Mailing Address - Street 1:400 HARDIN LOOP
Mailing Address - Street 2:
Mailing Address - City:BUDA
Mailing Address - State:TX
Mailing Address - Zip Code:78610-9796
Mailing Address - Country:US
Mailing Address - Phone:512-295-3796
Mailing Address - Fax:
Practice Address - Street 1:3103 BEE CAVE RD
Practice Address - Street 2:SUITE 125
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78746-5586
Practice Address - Country:US
Practice Address - Phone:512-327-9884
Practice Address - Fax:512-327-3916
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX22938103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical