Dallas Neuropsychology Pllc | |
777 Justin Rd Rockwall TX 75087-4840 | |
(214) 620-5580 | |
(469) 264-5037 |
Full Name | Dallas Neuropsychology Pllc |
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Speciality | Clinical Neuropsychologist |
Location | 777 Justin Rd, Rockwall, Texas |
Authorized Official Name and Position | Brandi Buchanan (OWNER/PSYCHOLOGIST) |
Authorized Official Contact | 2146205580 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dallas Neuropsychology Pllc 777 Justin Rd Rockwall TX 75087-4840 Ph: (214) 620-5580 | Dallas Neuropsychology Pllc 777 Justin Rd Rockwall TX 75087-4840 Ph: (214) 620-5580 |
NPI Number | 1407399983 |
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Provider Enumeration Date | 12/01/2016 |
Last Update Date | 04/23/2024 |
Certification Date | 04/23/2024 |
Medicare PECOS PAC ID | 8921376310 |
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Medicare Enrollment ID | O20170607001085 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407399983 | NPI | - | NPPES |
375101801 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103G00000X | Clinical Neuropsychologist | 37022 (Texas) | Primary |
2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
Provider Name | Brandi M Buchanan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1659761625 PECOS PAC ID: 8820316862 Enrollment ID: I20150423000448 |
Provider Name | Aleah E Pace |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1134586738 PECOS PAC ID: 5698108694 Enrollment ID: I20191205001142 |
Provider Name | Carrie Minette Murdick |
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Provider Type | Practitioner - Qualified Speech Language Pathologist |
Provider Identifiers | NPI Number: 1477114288 PECOS PAC ID: 6800229816 Enrollment ID: I20191205001492 |
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