| Terri Ordahl Psy D Pllc | |
|
102 E Moore Ave Ste 225 Terrell TX 75160-3244 | |
| (903) 340-9915 | |
| Not Available |
| Full Name | Terri Ordahl Psy D Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 102 E Moore Ave Ste 225, Terrell, Texas |
| Authorized Official Name and Position | Terri Lea Ordahl (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9033409915 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Terri Ordahl Psy D Pllc 11247 Glenn Ln Scurry TX 75158-3707 Ph: (903) 340-9915 | Terri Ordahl Psy D Pllc 102 E Moore Ave Ste 225 Terrell TX 75160-3244 Ph: (903) 340-9915 |
| NPI Number | 1841858982 |
|---|---|
| Provider Enumeration Date | 06/04/2019 |
| Last Update Date | 06/04/2019 |
| Medicare PECOS PAC ID | 6103226667 |
|---|---|
| Medicare Enrollment ID | O20210621002354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841858982 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Terri Ordahl |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1114099751 PECOS PAC ID: 9335159664 Enrollment ID: I20191017001986 |
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