Jeanine Wade, PHD

Psychologist · Round Rock, TX

Individual Active NPI

NPI number 1164573697

Practice location

400 W Main Ave
Suite 211
Round Rock, TX 78664-5808
Phone
(512) 860-2963

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NPI record

NPI
1164573697
Entity type
Individual (Type 1)
Enumeration date
January 12, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X 24694 TX

About Dr. Wade

Jeanine Wade, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 400 W Main Ave, Suite 211, Round Rock, TX 78664-5808. The NPI number 1164573697 was assigned on January 12, 2007 and the record was last updated on July 8, 2007.

Dr. Wade lists a license in the registry: #24694 (TX) for Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jeanine Wade, PHD?

The NPI number is 1164573697.

What is the phone number of Dr. Wade?

The phone number listed for the practice location is (512) 860-2963.

Where is Dr. Wade located?

400 W Main Ave, Suite 211, Round Rock, TX 78664-5808.

What is the taxonomy code for Dr. Wade?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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