| Diversified Psychological Services | |
|
1508 W Fairmont St Suite C Longview TX 75604-6303 | |
| (903) 238-9553 | |
| (903) 291-8709 |
| Full Name | Diversified Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1508 W Fairmont St, Longview, Texas |
| Authorized Official Name and Position | Steve C Knowles (OFFICE MANAGER) |
| Authorized Official Contact | 9032389553 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Psychological Services Po Box 9062 Longview TX 75608-9062 Ph: (903) 238-9553 | Diversified Psychological Services 1508 W Fairmont St Suite C Longview TX 75604-6303 Ph: (903) 238-9553 |
| NPI Number | 1043431489 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 09/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043431489 | NPI | - | NPPES |
| 00145N | Other | TX | BLUE CROSS BLUE SHIELD |
| 079990001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Kimberly Clough Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1010 Tristan Ln, Longview, TX 75604 Phone: 903-918-6574 Fax: 903-704-0980 | |
Heather R. Mcconnell, M.a., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 423, Longview, TX 75604 Phone: 903-759-2402 Fax: 903-759-2570 | |
Jonathan C. Lockhart, Md Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 911 W Loop 281, Suite 111, Longview, TX 75604 Phone: 903-295-8994 Fax: 903-295-8987 | |
Core Health Systems Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1300 N 6th St # A, Longview, TX 75601 Phone: 903-232-8928 Fax: 903-918-1813 | |
Willem H. Fahrenbruck, Lpc, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3122 Nealy Way Ste 201, Longview, TX 75605 Phone: 903-452-8040 | |
7872 Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 615 Clinic Dr, Longview, TX 75605 Phone: 903-212-3105 |