| Butler Psychological Group, Pllc | |
|
4031 Forest Teal Ct Fresno TX 77545-8648 | |
| (832) 651-5518 | |
| Not Available |
| Full Name | Butler Psychological Group, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 4031 Forest Teal Ct, Fresno, Texas |
| Authorized Official Name and Position | Eboni Tiana Butler (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8323869449 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Butler Psychological Group, Pllc 4031 Forest Teal Ct Fresno TX 77545-8648 Ph: () - | Butler Psychological Group, Pllc 4031 Forest Teal Ct Fresno TX 77545-8648 Ph: (832) 651-5518 |
| NPI Number | 1740549823 |
|---|---|
| Provider Enumeration Date | 05/10/2012 |
| Last Update Date | 06/13/2017 |
| Medicare PECOS PAC ID | 6002079092 |
|---|---|
| Medicare Enrollment ID | O20120601000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740549823 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 34589 (Texas) | Primary |
| Provider Name | Eboni T Butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1972733723 PECOS PAC ID: 7618148479 Enrollment ID: I20110927000825 |
| Provider Name | Tioana M Maxwell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356574743 PECOS PAC ID: 3678616612 Enrollment ID: I20131230000910 |
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