| Psychological Testing Services Of Dallas, Pllc | |
|
1400 Preston Rd Ste 300 Plano TX 75093-3603 | |
| (972) 532-9282 | |
| Not Available |
| Full Name | Psychological Testing Services Of Dallas, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1400 Preston Rd Ste 300, Plano, Texas |
| Authorized Official Name and Position | Nicole Grandjean (OWNER) |
| Authorized Official Contact | 9725329282 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Testing Services Of Dallas, Pllc 1400 Preston Rd Ste 300 Plano TX 75093-3603 Ph: (972) 532-9282 | Psychological Testing Services Of Dallas, Pllc 1400 Preston Rd Ste 300 Plano TX 75093-3603 Ph: (972) 532-9282 |
| NPI Number | 1770054165 |
|---|---|
| Provider Enumeration Date | 12/10/2018 |
| Last Update Date | 12/12/2018 |
| Medicare PECOS PAC ID | 3476896036 |
|---|---|
| Medicare Enrollment ID | O20190522001391 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770054165 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Nicole Rae Grandjean |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447688726 PECOS PAC ID: 0840427191 Enrollment ID: I20131212001657 |
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