| Price Proctor & Associates Pllc | |
|
11882 Greenville Ave Ste 107 Dallas TX 75243-3567 | |
| (972) 644-8686 | |
| Not Available |
| Full Name | Price Proctor & Associates Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 11882 Greenville Ave Ste 107, Dallas, Texas |
| Authorized Official Name and Position | Rhanda Holden (OFFICE MANAGER) |
| Authorized Official Contact | 9726448968 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Price Proctor & Associates Pllc 11882 Greenville Ave Ste 107 Dallas TX 75243-3567 Ph: (972) 644-8686 | Price Proctor & Associates Pllc 11882 Greenville Ave Ste 107 Dallas TX 75243-3567 Ph: (972) 644-8686 |
| NPI Number | 1053059618 |
|---|---|
| Provider Enumeration Date | 05/24/2022 |
| Last Update Date | 05/24/2022 |
| Certification Date | 05/24/2022 |
| Medicare PECOS PAC ID | 2961878525 |
|---|---|
| Medicare Enrollment ID | O20221022000121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053059618 | NPI | - | NPPES |
| Provider Name | Matthew Clem |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1225560055 PECOS PAC ID: 7214203215 Enrollment ID: I20201006001257 |
| Provider Name | Jed Falkowski |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992927057 PECOS PAC ID: 5597131151 Enrollment ID: I20221022000167 |
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