| Davidson Counseling Group Pc | |
|
7800 Preston Rd Ste 145 Plano TX 75024-3239 | |
| (972) 251-9615 | |
| (877) 581-3908 |
| Full Name | Davidson Counseling Group Pc |
|---|---|
| Speciality | Psychologist |
| Location | 7800 Preston Rd Ste 145, Plano, Texas |
| Authorized Official Name and Position | James Davidson (CEO) |
| Authorized Official Contact | 9722519615 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Davidson Counseling Group Pc 3500 Wilshire Dr Plano TX 75023-6017 Ph: (972) 251-9615 | Davidson Counseling Group Pc 7800 Preston Rd Ste 145 Plano TX 75024-3239 Ph: (972) 251-9615 |
| NPI Number | 1639447113 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 0648436675 |
|---|---|
| Medicare Enrollment ID | O20120719000330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639447113 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36018 (Texas) | Primary |
| 103TC0700X | Psychologist - Clinical | 36019 (Texas) | Secondary |
| Provider Name | Nancy Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578551271 PECOS PAC ID: 6901975903 Enrollment ID: I20120719000342 |
| Provider Name | James Davidson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598753295 PECOS PAC ID: 1951305507 Enrollment ID: I20120723000119 |
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