Individual provider · Type 1 NPI

Supriya Sharma Kothavale, DO

Child & Adolescent Psychiatry Physician · Austin, TX

NPI number 1285951798 Active

Practice location

4131 Spicewood Springs Rd Ste H2
Austin, TX 78759-8659

Call (512) 706-9821 Map

Mailing address

8707 Ridgehill Dr
Austin, TX 78759-7342

Specialties and licenses

TaxonomyCodeLicense
Psychosomatic Medicine Physician 2084P0015XR7510 (TX)
Psychosomatic Medicine Physician 2084P0015X274976 (NY)
Psychiatry Physician 2084P0800X274976 (NY)
Psychiatry Physician 2084P0800XR7510 (TX)
Child & Adolescent Psychiatry Physician 2084P0804X274976 (NY)
Child & Adolescent Psychiatry Physician Primary 2084P0804XR7510 (TX)

Child & Adolescent Psychiatry Physician: Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

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About NPI 1285951798

Supriya Sharma Kothavale, DO's National Provider Identifier is 1285951798, issued on Apr 23, 2010. The primary taxonomy on file is Child & Adolescent Psychiatry Physician (2084P0804X), and the practice location is in Austin, TX. The record was last updated on Mar 19, 2024.