Brd Professional Psychology Pllc | |
3617 W Pioneer Pkwy Ste 100 Pantego TX 76013-4504 | |
(814) 217-5180 | |
Not Available |
Full Name | Brd Professional Psychology Pllc |
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Speciality | Psychologist - Counseling |
Location | 3617 W Pioneer Pkwy Ste 100, Pantego, Texas |
Authorized Official Name and Position | Brendel Doss (OWNER) |
Authorized Official Contact | 8172175180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Brd Professional Psychology Pllc 3617 W Pioneer Pkwy Ste 100 Pantego TX 76013-4504 Ph: (814) 217-5180 | Brd Professional Psychology Pllc 3617 W Pioneer Pkwy Ste 100 Pantego TX 76013-4504 Ph: (814) 217-5180 |
NPI Number | 1598285835 |
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Provider Enumeration Date | 06/27/2017 |
Last Update Date | 11/10/2024 |
Certification Date | 11/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598285835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC1900X | Psychologist - Counseling | (* (Not Available)) | Primary |
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