Individual provider · Type 1 NPI

Annelisa Helene Pedersen, PhD

Mental Health Counselor · Austin, TX

NPI number 1356589683 Active

Practice location

2222 Western Trails Blvd Ste 107
Austin, TX 78745-1601

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X38061 (TX)
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1356589683

Annelisa Helene Pedersen, PhD's National Provider Identifier is 1356589683, issued on Jan 23, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Austin, TX. The record was last updated on Jun 22, 2022.