Adonai Psychological Services, Pa | |
20615 Nannette Ln Spring TX 77388-4824 | |
(281) 651-1700 | |
(281) 651-1775 |
Full Name | Adonai Psychological Services, Pa |
---|---|
Speciality | Psychologist |
Location | 20615 Nannette Ln, Spring, Texas |
Authorized Official Name and Position | Kevin Jay Schloneger (CEO/PRESIDENT) |
Authorized Official Contact | 2816511700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Adonai Psychological Services, Pa 20615 Nannette Ln Spring TX 77388-4824 Ph: (281) 651-1700 | Adonai Psychological Services, Pa 20615 Nannette Ln Spring TX 77388-4824 Ph: (281) 651-1700 |
NPI Number | 1720261811 |
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Provider Enumeration Date | 12/11/2007 |
Last Update Date | 03/10/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720261811 | NPI | - | NPPES |
00Y538 | Other | TX | MEDICARE GROUP PTAN |
140937702 | Medicaid | TX | |
8F7015 | Other | TX | MEDICARE INDIVIDUAL PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 30820 (Texas) | Primary |
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