| Paul K. Chafetz Phd Pllc | |
|
8340 Meadow Rd Ste 134 Dallas TX 75231 | |
| (469) 233-5566 | |
| Not Available |
| Full Name | Paul K. Chafetz Phd Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 8340 Meadow Rd Ste 134, Dallas, Texas |
| Authorized Official Name and Position | Lori Billman (CLAIMS MANAGER) |
| Authorized Official Contact | 8174706676 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paul K. Chafetz Phd Pllc Po Box 92878 Southlake TX 76092-0878 Ph: (817) 470-6676 | Paul K. Chafetz Phd Pllc 8340 Meadow Rd Ste 134 Dallas TX 75231 Ph: (469) 233-5566 |
| NPI Number | 1316463847 |
|---|---|
| Provider Enumeration Date | 08/16/2017 |
| Last Update Date | 05/31/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316463847 | NPI | - | NPPES |
| 035835001 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 22365 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 22365 (Texas) | Primary |
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