| Ross E Devere Phd Pllc | |
|
301 Denali Pass Ste 4 Cedar Park TX 78613-2079 | |
| (512) 261-3999 | |
| (512) 261-3991 |
| Full Name | Ross E Devere Phd Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 301 Denali Pass Ste 4, Cedar Park, Texas |
| Authorized Official Name and Position | Ross Evan Devere (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 5122613999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross E Devere Phd Pllc 301 Denali Pass Ste 4 Cedar Park TX 78613-2079 Ph: (512) 261-3999 | Ross E Devere Phd Pllc 301 Denali Pass Ste 4 Cedar Park TX 78613-2079 Ph: (512) 261-3999 |
| NPI Number | 1982845111 |
|---|---|
| Provider Enumeration Date | 03/18/2009 |
| Last Update Date | 01/06/2020 |
| Certification Date | 01/06/2020 |
| Medicare PECOS PAC ID | 3476602368 |
|---|---|
| Medicare Enrollment ID | O20090526000244 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982845111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 34236 (Texas) | Primary |
| Provider Name | Ross Evan Devere |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336359264 PECOS PAC ID: 1759430648 Enrollment ID: I20090526000238 |
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