Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Fred Imuentinyan Jr., PHD

Individual provider Clinical Psychologist · NPI 1508680174

Dr. Fred Imuentinyan Jr., PHD is a Clinical Psychologist in Austin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2024
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

5900 Balcones Dr Ste 100
Austin, TX 78731-4298
Phone: (817) 676-1908
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 40056 (TX)

Record details

NPI number1508680174
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 11, 2024
Last updated in NPPESJanuary 19, 2025
Certification dateJanuary 19, 2025

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