| Jay Daniel Duhon, Ph.d., Pllc | |
|
2301 Ohio Dr Ste. 130 Plano TX 75093-3927 | |
| (214) 476-4137 | |
| (972) 867-3402 |
| Full Name | Jay Daniel Duhon, Ph.d., Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2301 Ohio Dr, Plano, Texas |
| Authorized Official Name and Position | Jay D Duhon (PRESIDENT) |
| Authorized Official Contact | 2144764137 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jay Daniel Duhon, Ph.d., Pllc 13435 Mill Grove Ln Dallas TX 75240-5535 Ph: (214) 476-4137 | Jay Daniel Duhon, Ph.d., Pllc 2301 Ohio Dr Ste. 130 Plano TX 75093-3927 Ph: (214) 476-4137 |
| NPI Number | 1902270630 |
|---|---|
| Provider Enumeration Date | 11/18/2015 |
| Last Update Date | 12/07/2016 |
| Medicare PECOS PAC ID | 2961792239 |
|---|---|
| Medicare Enrollment ID | O20160531000172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902270630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Jay Daniel Duhon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417989724 PECOS PAC ID: 0143480442 Enrollment ID: I20120323000304 |
| Provider Name | Lauren Innes Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396010211 PECOS PAC ID: 6901052315 Enrollment ID: I20120816000820 |
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