Angela Diane Mitchell, PHD | |
6043 W Interstate 20, Arlington, TX 76017-1042 | |
(817) 533-0818 | |
(877) 477-0366 |
Full Name | Angela Diane Mitchell |
---|---|
Gender | Female |
Speciality | Psychologist |
Location | 6043 W Interstate 20, Arlington, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659334076 | NPI | - | NPPES |
162269807 | Medicaid | TX | |
162269801 | Medicaid | TX | |
162269805 | Medicaid | TX | |
162269806 | Medicaid | TX |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 32135 (Texas) | Primary |
Entity Name | Center For Psychological Services, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447501259 PECOS PAC ID: 1951551076 Enrollment ID: O20121026000388 |
Mailing Address | Practice Location Address |
---|---|
Angela Diane Mitchell, PHD 6043 W Interstate 20, Arlington, TX 76017-1042 Ph: (817) 533-0818 | Angela Diane Mitchell, PHD 6043 W Interstate 20, Arlington, TX 76017-1042 Ph: (817) 533-0818 |
Ms. Stephanie Darsa, Psychologist Medicare: Medicare Enrolled Practice Location: 902 W Mitchell St, Arlington, TX 76013 Phone: 817-461-6183 Fax: 817-265-7433 | |
Mrs. Shirley Anne Willis, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2340 W Interstate 20, Bldg. Hr-ii, Ste. 206, Arlington, TX 76017 Phone: 814-466-2585 Fax: 817-466-2596 | |
Connie M Dunn, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3901 W Green Oaks Blvd Ste B, Arlington, TX 76016 Phone: 817-688-3386 | |
Vicki R. Perry, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6702 W Poly Webb Rd, Arlington, TX 76016 Phone: 817-478-0095 | |
Dr. Michael Woodrow Sharp, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Saddle Oak Drive, Arlington, TX 76001 Phone: 817-483-3852 | |
Vicki Lynn Niedermayer, BCBA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5801 Gloucester Ct, Arlington, TX 76018 Phone: 817-690-7218 | |
Latrece Clark, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6043 W Interstate 20, Arlington, TX 76017 Phone: 817-533-0825 Fax: 817-953-8899 |