Behavioral Psychology Clinic, Pc in Dallas - Psychologist
Behavioral Psychology Clinic, Pc - NPI 1063530301
Behavioral Psychology Clinic, Pc is a Psychologist in Dallas, Texas. Behavioral Psychology Clinic, Pc practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Behavioral Psychology Clinic, Pc is 1063530301. The last update date is 2010-07-21.
Behavioral Psychology Clinic, Pc's current location address is 5201 S Westmoreland Rd, Dallas, Texas. You can contact this provider via phone number 2143392047 and fax number 2143392049. The mailing address for Behavioral Psychology Clinic, Pc is 5201 S Westmoreland Rd, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Behavioral Psychology Clinic, Pc |
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Address | 5201 S Westmoreland Rd, Dallas, Texas |
Phone Number | 2143392047 |
Fax Number | 2143392049 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | LICENSED P |
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Authorized Official Name | Ingram C Jesse |
Credentials | PH.D. |
Telephone Number | 2143392047 |
NPI Number Detail
NPI Number | 1063530301 |
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Provider Enumeration Date | 2007-03-26 |
Last Updated Date | 2010-07-21 |
Provider Mailing Address Detail
Address | 5201 S Westmoreland Rd |
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City | Dallas |
State | Texas (TX) |
Post Code | 752371622 |
Phone Number | 2143392047 |
Fax Number | 2143392049 |
Provider's Primary Taxonomy Detail
Speciality | Psychologist |
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Taxonomy | 103T00000X |
Licence No | 3078-02-01 0 |
Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
34167901 | TX | -- | |
81678P | TX | BCBS # |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Behavioral Psychology Clinic, Pc by the Centers for Medicare & Medicaid Services?
The Behavioral Psychology Clinic, Pc has been assigned the NPI (National Provider Identifier) 1063530301 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Behavioral Psychology Clinic, Pc's facilities are situated?
The facilities of Behavioral Psychology Clinic, Pc are physically located at the following address: 5201 S Westmoreland Rd, Dallas, TX, 752371622.
What is Behavioral Psychology Clinic, Pc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Behavioral Psychology Clinic, Pc is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063530301 to Behavioral Psychology Clinic, Pc?
The Centers for Medicare & Medicaid Services originally issued the 1063530301 to Behavioral Psychology Clinic, Pc on 2007-03-26.
When was the information regarding Behavioral Psychology Clinic, Pc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Behavioral Psychology Clinic, Pc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-07-21.