| Lisa C Mcelroy Phd Pllc | |
|
316 Beechwood Ln Coppell TX 75019-5303 | |
| (214) 998-4888 | |
| Not Available |
| Full Name | Lisa C Mcelroy Phd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 316 Beechwood Ln, Coppell, Texas |
| Authorized Official Name and Position | Lisa C Mcelroy (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 2149984888 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa C Mcelroy Phd Pllc 316 Beechwood Ln Coppell TX 75019-5303 Ph: (214) 998-4888 | Lisa C Mcelroy Phd Pllc 316 Beechwood Ln Coppell TX 75019-5303 Ph: (214) 998-4888 |
| NPI Number | 1427442896 |
|---|---|
| Provider Enumeration Date | 03/24/2015 |
| Last Update Date | 03/24/2015 |
| Medicare PECOS PAC ID | 8527370139 |
|---|---|
| Medicare Enrollment ID | O20150709001740 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427442896 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 34068 (Texas) | Primary |
| Provider Name | Lisa C Mcelroy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245201581 PECOS PAC ID: 9638117153 Enrollment ID: I20081216000511 |
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