| Psychology Care Associates Pllc | |
|
209 Travis St Suite 102 Roanoke TX 76262-8603 | |
| (817) 437-4505 | |
| Not Available |
| Full Name | Psychology Care Associates Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 209 Travis St, Roanoke, Texas |
| Authorized Official Name and Position | Elena Riedo (OWNER) |
| Authorized Official Contact | 8174374505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychology Care Associates Pllc 209 Travis St Suite 102 Roanoke TX 76262-8603 Ph: (817) 437-4505 | Psychology Care Associates Pllc 209 Travis St Suite 102 Roanoke TX 76262-8603 Ph: (817) 437-4505 |
| NPI Number | 1356898282 |
|---|---|
| Provider Enumeration Date | 09/08/2016 |
| Last Update Date | 09/08/2016 |
| Medicare PECOS PAC ID | 3971880105 |
|---|---|
| Medicare Enrollment ID | O20170426000294 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356898282 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 36929 (Texas) | Primary |
| Provider Name | Elena Riedo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730566308 PECOS PAC ID: 3678886595 Enrollment ID: I20150722003628 |
| Provider Name | Ateka A Contractor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235327735 PECOS PAC ID: 4587028584 Enrollment ID: I20230908003080 |
| Provider Name | Richard K Sohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407972425 PECOS PAC ID: 5496895492 Enrollment ID: I20231114002222 |
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