| Divergent Neuropsychological Assess | |
|
713 E 1st St Prosper TX 75078-2982 | |
| (469) 487-7911 | |
| Not Available |
| Full Name | Divergent Neuropsychological Assess |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 713 E 1st St, Prosper, Texas |
| Authorized Official Name and Position | Tina Mae Rice (PRACTICE OWNER/NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4694877911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergent Neuropsychological Assess 713 E 1st St Prosper TX 75078-2982 Ph: (469) 487-7911 | Divergent Neuropsychological Assess 713 E 1st St Prosper TX 75078-2982 Ph: (469) 487-7911 |
| NPI Number | 1033940614 |
|---|---|
| Provider Enumeration Date | 08/13/2024 |
| Last Update Date | 08/13/2024 |
| Certification Date | 08/13/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033940614 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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