Provider Demographics
NPI:1871721662
Name:DOEPNER, ALBERT HERMAN (LPC)
Entity type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:HERMAN
Last Name:DOEPNER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 E HIGHLAND MALL BLVD
Mailing Address - Street 2:SUITE 508
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78752-3735
Mailing Address - Country:US
Mailing Address - Phone:512-799-5540
Mailing Address - Fax:512-804-1770
Practice Address - Street 1:314 E HIGHLAND MALL BLVD
Practice Address - Street 2:SUITE 508
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78752-3735
Practice Address - Country:US
Practice Address - Phone:512-799-5540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-30
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX12076101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional