| Ut Southwestern Medical Center | |
|
Ut Southwestern Medical Ctr Neuropsychology 8846, 5323 Harry Hines Blvd Dallas TX 75390-0001 | |
| (214) 648-4687 | |
| Not Available |
| Full Name | Ut Southwestern Medical Center |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | Ut Southwestern Medical Ctr, Dallas, Texas |
| Authorized Official Name and Position | Michele Blue (MEDICAL STAFF CREDENTIALING) |
| Authorized Official Contact | 2146457811 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ut Southwestern Medical Center Ut Southwestern Medical Ctr Neuropsychology 8846, 5323 Harry Hines Blvd Dallas TX 75390-0001 Ph: () - | Ut Southwestern Medical Center Ut Southwestern Medical Ctr Neuropsychology 8846, 5323 Harry Hines Blvd Dallas TX 75390-0001 Ph: (214) 648-4687 |
| NPI Number | 1962755017 |
|---|---|
| Provider Enumeration Date | 10/25/2012 |
| Last Update Date | 10/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962755017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 36320 (Texas) | Primary |
| 261QM0850X | Clinic/center - Adult Mental Health | 6301014547 (Michigan) | Secondary |
Metrocare Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1380 River Bend Dr, Dallas, TX 75247 Phone: 214-743-6159 | |
Lifenet Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9708 Skillman St, Dallas, TX 75243 Phone: 214-221-5433 Fax: 214-932-1977 | |
Eric B. Williams, Md, Pllc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12801 N Central Expy Ste 350, Dallas, TX 75243 Phone: 214-702-5336 Fax: 972-773-9843 | |
Bienstar Counseling Services Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13140 Coit Rd Ste 326, Dallas, TX 75240 Phone: 214-682-7842 | |
Howdy Pediatrics, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 539 W Commerce St Ste 608, Dallas, TX 75208 Phone: 214-494-0448 Fax: 210-547-2046 | |
Lucienne Cohen Therapy, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4007 Bowser Ave Apt E, Dallas, TX 75219 Phone: 617-823-3007 | |
Developmental Pathways Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 325 N Saint Paul St Ste 3100, Dallas, TX 75201 Phone: 214-432-3777 Fax: 800-434-3012 |