| Family Psychsolutions | |
|
9307 Broadway St Suite 323 Pearland TX 77584-9765 | |
| (281) 092-1050 | |
| (281) 902-1051 |
| Full Name | Family Psychsolutions |
|---|---|
| Speciality | Psychologist |
| Location | 9307 Broadway St, Pearland, Texas |
| Authorized Official Name and Position | Daniela Marie Costa (OWNER) |
| Authorized Official Contact | 2819021050 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Psychsolutions 9307 Broadway St Suite 323 Pearland TX 77584-9765 Ph: (281) 092-1050 | Family Psychsolutions 9307 Broadway St Suite 323 Pearland TX 77584-9765 Ph: (281) 092-1050 |
| NPI Number | 1841448594 |
|---|---|
| Provider Enumeration Date | 09/07/2008 |
| Last Update Date | 06/04/2009 |
| Medicare PECOS PAC ID | 0749358281 |
|---|---|
| Medicare Enrollment ID | O20090225000415 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841448594 | NPI | - | NPPES |
| 2006272 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33763 (Texas) | Primary |
| Provider Name | Daniela M Costa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255446043 PECOS PAC ID: 4284702739 Enrollment ID: I20090223000632 |
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