| Mischca T. Scales, Phd, Pllc | |
|
111 N Hasler Blvd Suite 207 Bastrop TX 78602-3831 | |
| (512) 507-6342 | |
| (512) 531-9271 |
| Full Name | Mischca T. Scales, Phd, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 111 N Hasler Blvd, Bastrop, Texas |
| Authorized Official Name and Position | Mischca T Scales (PSYCHOLOGIST) |
| Authorized Official Contact | 5125076342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mischca T. Scales, Phd, Pllc 7417 Turnbuoy Dr Austin TX 78730-4333 Ph: (512) 507-6342 | Mischca T. Scales, Phd, Pllc 111 N Hasler Blvd Suite 207 Bastrop TX 78602-3831 Ph: (512) 507-6342 |
| NPI Number | 1194040709 |
|---|---|
| Provider Enumeration Date | 04/07/2010 |
| Last Update Date | 12/31/2010 |
| Medicare PECOS PAC ID | 0941476618 |
|---|---|
| Medicare Enrollment ID | O20111229000713 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194040709 | NPI | - | NPPES |
| 161254101 | Medicaid | TX | |
| 86843A | Other | TX | BLUE CROSS BLUE SHIELD |
| 600663363 | Other | TX | BLUE CROSS BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31559 (Texas) | Primary |
| Provider Name | Mischca T Scales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437195583 PECOS PAC ID: 3870598907 Enrollment ID: I20060925000268 |
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