| Gina Dunckel Psyd Pllc | |
|
1500 Marina Bay Dr Bldg 113e Clear Lake Shores TX 77565-2263 | |
| (281) 910-3303 | |
| Not Available |
| Full Name | Gina Dunckel Psyd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1500 Marina Bay Dr Bldg 113e, Clear Lake Shores, Texas |
| Authorized Official Name and Position | Gina N Dunckel Smith (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2819103313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gina Dunckel Psyd Pllc Po Box 303 Kemah TX 77565-0303 Ph: (281) 910-3913 | Gina Dunckel Psyd Pllc 1500 Marina Bay Dr Bldg 113e Clear Lake Shores TX 77565-2263 Ph: (281) 910-3303 |
| NPI Number | 1780248989 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 06/22/2023 |
| Certification Date | 06/22/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780248989 | NPI | - | NPPES |
| 1518374982 | Other | NPI INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
Psychologia-tx, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Portifino Plz # H-14, Clear Lake Shores, TX 77565 Phone: 979-541-1160 Fax: 979-541-1161 |