Psychological Services Of North Texas, Pllc | |
7135 Colleyville Blvd Suite 101 Colleyville TX 76034-6240 | |
(817) 416-7169 | |
(817) 416-7175 |
Full Name | Psychological Services Of North Texas, Pllc |
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Speciality | Psychologist |
Location | 7135 Colleyville Blvd, Colleyville, Texas |
Authorized Official Name and Position | Kathleen L Nadelson (LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 9724459340 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Psychological Services Of North Texas, Pllc 7135 Colleyville Blvd Suite 101 Colleyville TX 76034-6240 Ph: () - | Psychological Services Of North Texas, Pllc 7135 Colleyville Blvd Suite 101 Colleyville TX 76034-6240 Ph: (817) 416-7169 |
NPI Number | 1073909438 |
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Provider Enumeration Date | 04/13/2015 |
Last Update Date | 11/14/2015 |
Medicare PECOS PAC ID | 8820309875 |
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Medicare Enrollment ID | O20150618000350 |
Identifier | Type | State | Issuer |
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1073909438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 36072 (Texas) | Primary |
Provider Name | Kathleen Larkin Nadelson |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336584341 PECOS PAC ID: 9739490780 Enrollment ID: I20150618000853 |
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