Michael David Farjellah, PHD is a
Psychologist - Clinical based in San Antonio, Texas. Michael David Farjellah is licensed to practice in Alabama (license number 1778) and his current practice location is
3851 Roger Brooke Dr, San Antonio, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 916-3611.
NPI number for Michael David Farjellah is 1447400478 and his current mailing address is Box 307, Winchester, Kentucky. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447400478.
Healthcare Provider's Profile
| Full Name | Michael David Farjellah |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 3851 Roger Brooke Dr, San Antonio, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447400478
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 03/06/2019
Medical Identifiers
Medical identifiers for Michael David Farjellah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447400478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | 64164 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1778 (Alabama) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael David Farjellah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael David Farjellah, PHD
Box 307,
Winchester, KY 40392
Ph: (210) 844-7028 | Michael David Farjellah, PHD
3851 Roger Brooke Dr,
San Antonio, TX 78234-4501
Ph: (210) 916-3611 |
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