| Halverson & Bevan Pc | |
|
101 Southwestern Boulevard Suite 109 Sugar Land TX 77478 | |
| (281) 242-1970 | |
| (281) 242-1223 |
| Full Name | Halverson & Bevan Pc |
|---|---|
| Speciality | Psychologist |
| Location | 101 Southwestern Boulevard, Sugar Land, Texas |
| Authorized Official Name and Position | Jay P Bevan (PRESIDENT) |
| Authorized Official Contact | 2812421970 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Halverson & Bevan Pc 101 Southwestern Boulevard Suite 109 Sugar Land TX 77478 Ph: (281) 242-1970 | Halverson & Bevan Pc 101 Southwestern Boulevard Suite 109 Sugar Land TX 77478 Ph: (281) 242-1970 |
| NPI Number | 1588760839 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 10/18/2012 |
| Medicare PECOS PAC ID | 4688916034 |
|---|---|
| Medicare Enrollment ID | O20190503002153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588760839 | NPI | - | NPPES |
| 081091301 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 23738 (Texas) | Primary |
| 103TC0700X | Psychologist - Clinical | 23543 (Texas) | Secondary |
| Provider Name | Jay P Bevan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285897223 PECOS PAC ID: 5799027017 Enrollment ID: I20190513002455 |
| Provider Name | Jayna Halverson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1629231667 PECOS PAC ID: 8325380645 Enrollment ID: I20190514001708 |
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