| Integration And Cohesiveness Practice, Pllc. | |
|
3407 W Slaughter Ln Suite A Austin TX 78748-5714 | |
| (512) 522-5898 | |
| Not Available |
| Full Name | Integration And Cohesiveness Practice, Pllc. |
|---|---|
| Speciality | Psychologist |
| Location | 3407 W Slaughter Ln, Austin, Texas |
| Authorized Official Name and Position | Laura A. Cardona (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9404537950 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integration And Cohesiveness Practice, Pllc. 3309 Pecan Springs Rd Austin TX 78723-6005 Ph: (940) 453-7950 | Integration And Cohesiveness Practice, Pllc. 3407 W Slaughter Ln Suite A Austin TX 78748-5714 Ph: (512) 522-5898 |
| NPI Number | 1528413556 |
|---|---|
| Provider Enumeration Date | 04/27/2016 |
| Last Update Date | 04/27/2016 |
| Medicare PECOS PAC ID | 2163717828 |
|---|---|
| Medicare Enrollment ID | O20160820000069 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528413556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 37089 (Texas) | Primary |
| Provider Name | Laura A Cardona |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205290806 PECOS PAC ID: 3072808732 Enrollment ID: I20160820000090 |
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