S G Pollard Phd Pllc | |
1420 Stonehollow Dr Ste C Kingwood TX 77339-2494 | |
(281) 570-8227 | |
(832) 408-7662 |
Full Name | S G Pollard Phd Pllc |
---|---|
Speciality | Psychologist |
Location | 1420 Stonehollow Dr, Kingwood, Texas |
Authorized Official Name and Position | Susan G Pollard (OWNER) |
Authorized Official Contact | 2815708227 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
S G Pollard Phd Pllc 1420 Stonehollow Dr Ste C Kingwood TX 77339-2494 Ph: (281) 570-8227 | S G Pollard Phd Pllc 1420 Stonehollow Dr Ste C Kingwood TX 77339-2494 Ph: (281) 570-8227 |
NPI Number | 1366998387 |
---|---|
Provider Enumeration Date | 08/30/2016 |
Last Update Date | 03/21/2024 |
Certification Date | 03/21/2024 |
Medicare PECOS PAC ID | 1658669395 |
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Medicare Enrollment ID | O20180205002982 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366998387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 32229 (Texas) | Primary |
Provider Name | Susan G Pollard |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1477572782 PECOS PAC ID: 6305800863 Enrollment ID: I20041115000630 |
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