| Stanley Psychology Pllc | |
|
108 N 1st Ave Mansfield TX 76063-1602 | |
| (817) 592-0750 | |
| (817) 259-2491 |
| Full Name | Stanley Psychology Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 108 N 1st Ave, Mansfield, Texas |
| Authorized Official Name and Position | Amanda M Stanley (OWNER/CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8175920750 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stanley Psychology Pllc 4102 Nicklaus Ave Mansfield TX 76063-5863 Ph: (832) 858-3133 | Stanley Psychology Pllc 108 N 1st Ave Mansfield TX 76063-1602 Ph: (817) 592-0750 |
| NPI Number | 1144917170 |
|---|---|
| Provider Enumeration Date | 04/19/2023 |
| Last Update Date | 04/19/2023 |
| Certification Date | 04/19/2023 |
| Medicare PECOS PAC ID | 2860858370 |
|---|---|
| Medicare Enrollment ID | O20230525000147 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144917170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amanda Michaele Stanley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700384369 PECOS PAC ID: 5092077909 Enrollment ID: I20180312002280 |
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