| Cohealth Psychology Services, P.a. | |
|
1101 N Hampton Rd Desoto TX 75115-3951 | |
| (972) 223-3944 | |
| Not Available |
| Full Name | Cohealth Psychology Services, P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 1101 N Hampton Rd, Desoto, Texas |
| Authorized Official Name and Position | Joseph M Casciani (PRESIDENT) |
| Authorized Official Contact | 8582723992 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cohealth Psychology Services, P.a. 4901 Morena Blvd Suite 109 San Diego CA 92117-3423 Ph: (858) 272-3992 | Cohealth Psychology Services, P.a. 1101 N Hampton Rd Desoto TX 75115-3951 Ph: (972) 223-3944 |
| NPI Number | 1720220148 |
|---|---|
| Provider Enumeration Date | 03/31/2009 |
| Last Update Date | 03/31/2009 |
| Medicare PECOS PAC ID | 2062573132 |
|---|---|
| Medicare Enrollment ID | O20090424000456 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720220148 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TH0100X | Psychologist - Health Service | 24830 (Texas) | Primary |
| Provider Name | Keenan Greg Carley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417056946 PECOS PAC ID: 8426047432 Enrollment ID: I20040506000853 |
| Provider Name | Charles C Borsellino |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093966541 PECOS PAC ID: 4981766698 Enrollment ID: I20081217000399 |
| Provider Name | Melvyn A Berke |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407915598 PECOS PAC ID: 9032273610 Enrollment ID: I20090126000718 |
| Provider Name | Aretha L. Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730396607 PECOS PAC ID: 1850416454 Enrollment ID: I20100920001046 |
| Provider Name | Barbara A Yonan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407170566 PECOS PAC ID: 3476736588 Enrollment ID: I20110328000631 |
| Provider Name | Lynelle Marie Lynn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215288329 PECOS PAC ID: 9032369228 Enrollment ID: I20121024000520 |
| Provider Name | Michael Gerard Selders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851531925 PECOS PAC ID: 4486892353 Enrollment ID: I20130605000008 |
| Provider Name | Mallory King Sparks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437687753 PECOS PAC ID: 3476824780 Enrollment ID: I20170804001711 |
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