| Psychologia-tx, Inc. | |
|
1 Portifino Plz # H-14 Clear Lake Shores TX 77565-2733 | |
| (979) 541-1160 | |
| (979) 541-1161 |
| Full Name | Psychologia-tx, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1 Portifino Plz # H-14, Clear Lake Shores, Texas |
| Authorized Official Name and Position | Stephen M. Lange (PRESIDENT) |
| Authorized Official Contact | 9795411160 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychologia-tx, Inc. Po Box 336 Kemah TX 77565-0336 Ph: (979) 541-1160 | Psychologia-tx, Inc. 1 Portifino Plz # H-14 Clear Lake Shores TX 77565-2733 Ph: (979) 541-1160 |
| NPI Number | 1437848694 |
|---|---|
| Provider Enumeration Date | 05/03/2023 |
| Last Update Date | 05/03/2023 |
| Certification Date | 05/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437848694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Gina Dunckel Psyd Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Marina Bay Dr Bldg 113e, Clear Lake Shores, TX 77565 Phone: 281-910-3303 |