Shaalon Joules Phd Pllc | |
2770 Main St Ste. 281 Frisco TX 75033-4302 | |
(469) 328-6473 | |
(888) 908-9549 |
Full Name | Shaalon Joules Phd Pllc |
---|---|
Speciality | Psychologist |
Location | 2770 Main St, Frisco, Texas |
Authorized Official Name and Position | Shaalon Joules (OWNER) |
Authorized Official Contact | 4693286473 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Shaalon Joules Phd Pllc 2770 Main St Ste. 281 Frisco TX 75033-4302 Ph: (469) 328-6473 | Shaalon Joules Phd Pllc 2770 Main St Ste. 281 Frisco TX 75033-4302 Ph: (469) 328-6473 |
NPI Number | 1255645529 |
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Provider Enumeration Date | 07/29/2010 |
Last Update Date | 09/01/2014 |
Medicare PECOS PAC ID | 4880880160 |
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Medicare Enrollment ID | O20101129000742 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255645529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 34129 (Texas) | Primary |
Provider Name | Shaalon Joules |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1609070689 PECOS PAC ID: 8224165360 Enrollment ID: I20100422000252 |
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