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1708 Coit Rd # 235 Plano TX 75075-5024 | |
| (469) 443-0459 | |
| (469) 443-0461 |
| Full Name | |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1708 Coit Rd # 235, Plano, Texas |
| Authorized Official Name and Position | Gary A Grossman (PRESIDENT) |
| Authorized Official Contact | 4694430459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1708 Coit Rd # 235 Plano TX 75075-5024 Ph: (469) 443-0459 | 1708 Coit Rd # 235 Plano TX 75075-5024 Ph: (469) 443-0459 |
| NPI Number | 1265779292 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 01/10/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265779292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 31274 (Texas) | Primary |
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