Lake Shore Center For Psychological Services, P.C. in Waco - Psychologist
Lake Shore Center For Psychological Services, P.C. - NPI 1467599779
Lake Shore Center For Psychological Services, P.C. is a Psychologist in Waco, Texas. Lake Shore Center For Psychological Services, P.C. practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Lake Shore Center For Psychological Services, P.C. is 1467599779. The last update date is 2011-01-05.
Lake Shore Center For Psychological Services, P.C.'s current location address is 4555 Lake Shore Dr, Waco, Texas. You can contact this provider via phone number 2547760400 and fax number 2547760637. The mailing address for Lake Shore Center For Psychological Services, P.C. is 4555 Lake Shore Dr, Waco, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Shore Center For Psychological Services, P.C. |
|---|---|
| Address | 4555 Lake Shore Dr, Waco, Texas |
| Phone Number | 2547760400 |
| Fax Number | 2547760637 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Lecrone H Harold |
| Credentials | PH.D. |
| Telephone Number | 2547760400 |
NPI Number Detail
| NPI Number | 1467599779 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2011-01-05 |
Provider Mailing Address Detail
| Address | 4555 Lake Shore Dr |
|---|---|
| City | Waco |
| State | Texas (TX) |
| Post Code | 767101814 |
| Phone Number | 2547760400 |
| Fax Number | 2547760637 |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
|
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 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| HH5047 | TX | BLUE CROSS ID NUMBER |
Post Comment/ Review Below
What is the unique identifier code issued to Lake Shore Center For Psychological Services, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Lake Shore Center For Psychological Services, P.C. has been assigned the NPI (National Provider Identifier) 1467599779. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Lake Shore Center For Psychological Services, P.C. is physically located?
The Lake Shore Center For Psychological Services, P.C. is physically situated at the following address: 4555 Lake Shore Dr, Waco, TX, 767101814.
What is Lake Shore Center For Psychological Services, P.C.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lake Shore Center For Psychological Services, P.C. is Psychologist, and the taxonomy code that categorizes this field of expertise is 103T00000X.
On what date did Lake Shore Center For Psychological Services, P.C. receive its 1467599779 assignment from the Centers for Medicare & Medicaid Services?
The Lake Shore Center For Psychological Services, P.C. was assigned its 1467599779 on 2007-01-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Lake Shore Center For Psychological Services, P.C. last refreshed?
The information related to the Lake Shore Center For Psychological Services, P.C., including its address, specialty, and other relevant details, was last updated on 2011-01-05.
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