| Applied Psychology Group Of Texoma Pa | |
|
555 Republic Dr Ste 325 Plano TX 75074-8867 | |
| (903) 893-0298 | |
| (903) 892-6323 |
| Full Name | Applied Psychology Group Of Texoma Pa |
|---|---|
| Speciality | Psychologist |
| Location | 555 Republic Dr Ste 325, Plano, Texas |
| Authorized Official Name and Position | Neha Patel (PRACTICE MANAGER) |
| Authorized Official Contact | 9038930298 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Psychology Group Of Texoma Pa 555 Republic Dr Ste 325 Plano TX 75074-8867 Ph: (903) 893-0298 | Applied Psychology Group Of Texoma Pa 555 Republic Dr Ste 325 Plano TX 75074-8867 Ph: (903) 893-0298 |
| NPI Number | 1457648719 |
|---|---|
| Provider Enumeration Date | 07/06/2011 |
| Last Update Date | 01/24/2023 |
| Certification Date | 01/24/2023 |
| Medicare PECOS PAC ID | 0244406098 |
|---|---|
| Medicare Enrollment ID | O20111229000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457648719 | NPI | - | NPPES |
| 304492701 | Medicaid | TX | |
| 200402040A | Medicaid | OK |
| Provider Name | Purvi Patel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497933147 PECOS PAC ID: 0840415964 Enrollment ID: I20140703001843 |
| Provider Name | Kimberly Lilac Gajeton |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730588054 PECOS PAC ID: 2668739988 Enrollment ID: I20171121003114 |
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