| New Balance Psychological Services, Pllc | |
|
320 N Travis St Ste 305 Sherman TX 75090-5999 | |
| (972) 607-9980 | |
| Not Available |
| Full Name | New Balance Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 320 N Travis St Ste 305, Sherman, Texas |
| Authorized Official Name and Position | Jenna A Miller (OWNER) |
| Authorized Official Contact | 7733446535 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Balance Psychological Services, Pllc 5313 Cornerstone Dr Mckinney TX 75070-6490 Ph: (773) 344-6535 | New Balance Psychological Services, Pllc 320 N Travis St Ste 305 Sherman TX 75090-5999 Ph: (972) 607-9980 |
| NPI Number | 1730725995 |
|---|---|
| Provider Enumeration Date | 11/22/2019 |
| Last Update Date | 11/22/2019 |
| Medicare PECOS PAC ID | 1456785872 |
|---|---|
| Medicare Enrollment ID | O20191218000392 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730725995 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Jenna Miller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528339173 PECOS PAC ID: 1759542509 Enrollment ID: I20120423000207 |
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