Behavioral Psychology Clinic, Pc in Dallas - Rehabilitation

Behavioral Psychology Clinic, Pc - NPI 1063530301

Behavioral Psychology Clinic, Pc is a Rehabilitation in Dallas, Texas. Behavioral Psychology Clinic, Pc practices all healthcare services and medical treatments related to Rehabilitation. 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
Address 5201 S Westmoreland Rd, Dallas, Texas
Phone Number 2143392047
Fax Number 2143392049
Sole Proprietor --
Credentials --

Authorized Official

Title or Position LICENSED P
Authorized Official Name Ingram C Jesse
Credentials PH.D.
Telephone Number 2143392047

NPI Number Detail

NPI Number 1063530301
Provider Enumeration Date 2007-03-26
Last Updated Date 2010-07-21

Provider Mailing Address Detail

Address 5201 S Westmoreland Rd
City Dallas
State Texas (TX)
Post Code 752371622
Phone Number 2143392047
Fax Number 2143392049

Provider's Primary Taxonomy Detail

Speciality Rehabilitation
Taxonomy 103Tr0400X
Licence No 3078-02-01 0
Definition:
A psychologist who specializes in the study and application of psychological principles on behalf of persons who have disability due to injury or illness. Rehabilitation psychologists, often within teams, assess and treat cognitive, emotional, and fu

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
34167901 TX --
81678P TX BCBS #

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FAQs about Behavioral Psychology Clinic, Pc

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 Rehabilitation, and the taxonomy code that categorizes this field of expertise is 103Tr0400X.

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.

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