Amy J Aston Lcsw Pc | |
416 S Morgan St Granbury TX 76048-1958 | |
(817) 579-1606 | |
(817) 579-1654 |
Full Name | Amy J Aston Lcsw Pc |
---|---|
Speciality | Social Worker |
Location | 416 S Morgan St, Granbury, Texas |
Authorized Official Name and Position | Amy J Aston (COUNSELOR) |
Authorized Official Contact | 8175791606 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amy J Aston Lcsw Pc Po Box 579 Granbury TX 76048-0579 Ph: (817) 579-1606 | Amy J Aston Lcsw Pc 416 S Morgan St Granbury TX 76048-1958 Ph: (817) 579-1606 |
NPI Number | 1093191330 |
---|---|
Provider Enumeration Date | 08/10/2015 |
Last Update Date | 11/16/2016 |
Medicare PECOS PAC ID | 6305152406 |
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Medicare Enrollment ID | O20150903003004 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093191330 | NPI | - | NPPES |
196948703 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Amy J Aston |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1942461389 PECOS PAC ID: 8820141369 Enrollment ID: I20090731000472 |
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