Individual provider · Type 1 NPI

Sallie Ann Boulos-Sophy, PhD

Psychologist · Austin, TX

NPI number 1194150235 Active

Practice location

4601 Spicewood Springs Rd, Bldg 4, Suite 200
Austin, TX 78759

Call (512) 467-1376 Map

Fax (512) 467-8658

Mailing address

11604 Santa Elena Ln
Austin, TX 78717-5077

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000X36441 (TX)

Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…

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About NPI 1194150235

Sallie Ann Boulos-Sophy, PhD's National Provider Identifier is 1194150235, issued on Sep 9, 2013. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Austin, TX. The record was last updated on Dec 31, 2020.