| Mission Psychological Center, P.a. | |
|
2504 N Conway Ave Mission TX 78574-2349 | |
| (956) 519-9000 | |
| (956) 519-7722 |
| Full Name | Mission Psychological Center, P.a. |
|---|---|
| Speciality | Clinic/Center |
| Location | 2504 N Conway Ave, Mission, Texas |
| Authorized Official Name and Position | Barry D. Berger (PRESIDENT) |
| Authorized Official Contact | 9565199000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mission Psychological Center, P.a. 2504 N Conway Ave Mission TX 78574-2349 Ph: (956) 519-9000 | Mission Psychological Center, P.a. 2504 N Conway Ave Mission TX 78574-2349 Ph: (956) 519-9000 |
| NPI Number | 1730219007 |
|---|---|
| Provider Enumeration Date | 03/06/2007 |
| Last Update Date | 08/11/2020 |
| Certification Date | 08/11/2020 |
| Medicare PECOS PAC ID | 5799735502 |
|---|---|
| Medicare Enrollment ID | O20050129000068 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730219007 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Barry D Berger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1780677575 PECOS PAC ID: 0244280055 Enrollment ID: I20050202000148 |
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