| Cil Psychological Services Pllc | |
|
3740 N Josey Ln Ste 246 Carrollton TX 75007-2509 | |
| (972) 523-0200 | |
| Not Available |
| Full Name | Cil Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 3740 N Josey Ln Ste 246, Carrollton, Texas |
| Authorized Official Name and Position | Cheryl L Inmon Long (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9725230200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cil Psychological Services Pllc 1079 W Round Grove Rd Ste 300-350 Lewisville TX 75067-7905 Ph: (972) 523-0200 | Cil Psychological Services Pllc 3740 N Josey Ln Ste 246 Carrollton TX 75007-2509 Ph: (972) 523-0200 |
| NPI Number | 1982234340 |
|---|---|
| Provider Enumeration Date | 01/24/2020 |
| Last Update Date | 09/20/2021 |
| Certification Date | 09/20/2021 |
| Medicare PECOS PAC ID | 5496144602 |
|---|---|
| Medicare Enrollment ID | O20211109003136 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982234340 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
| Provider Name | Cheryl L Inmon Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1457676819 PECOS PAC ID: 1557543725 Enrollment ID: I20110309000207 |
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