| Jodi Ceballos, Psy.d., Pllc | |
|
901 N Bedell Ave Ste F Del Rio TX 78840-4170 | |
| (830) 313-6268 | |
| (830) 433-8228 |
| Full Name | Jodi Ceballos, Psy.d., Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 901 N Bedell Ave Ste F, Del Rio, Texas |
| Authorized Official Name and Position | Jodi L Ceballos (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8303136268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jodi Ceballos, Psy.d., Pllc 901 N Bedell Ave Ste F Del Rio TX 78840-4170 Ph: (830) 313-6268 | Jodi Ceballos, Psy.d., Pllc 901 N Bedell Ave Ste F Del Rio TX 78840-4170 Ph: (830) 313-6268 |
| NPI Number | 1760758940 |
|---|---|
| Provider Enumeration Date | 04/01/2012 |
| Last Update Date | 04/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760758940 | NPI | - | NPPES |
| 286660001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 34985 (Texas) | Primary |
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