| Dfw Psychological & Consulting Services, Inc. | |
|
700 Ne Loop 820 Suite 200a Hurst TX 76053-4634 | |
| (817) 905-1277 | |
| (817) 887-5821 |
| Full Name | Dfw Psychological & Consulting Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 700 Ne Loop 820, Hurst, Texas |
| Authorized Official Name and Position | Betty J. Eitel (OWNER) |
| Authorized Official Contact | 8179051277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dfw Psychological & Consulting Services, Inc. 700 Ne Loop 820 Suite 200a Hurst TX 76053-4634 Ph: (817) 905-1277 | Dfw Psychological & Consulting Services, Inc. 700 Ne Loop 820 Suite 200a Hurst TX 76053-4634 Ph: (817) 905-1277 |
| NPI Number | 1255411310 |
|---|---|
| Provider Enumeration Date | 10/16/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 4082635149 |
|---|---|
| Medicare Enrollment ID | O20051216000186 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255411310 | NPI | - | NPPES |
| 178841601 | Medicaid | TX | |
| 87118A | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 31363 (Texas) | Primary |
| Provider Name | Betty J Eitel |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1316027477 PECOS PAC ID: 3173574274 Enrollment ID: I20050207000335 |
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