Michael David Farjellah, PHD is a
Psychologist - Clinical based in Lago Vista, Texas. Michael David Farjellah is licensed to practice in Texas (license number 40363) and his current practice location is
8103 Purple Aster Pass, Lago Vista, Texas. He can be reached at his office (for appointments etc.) via phone at
(210) 844-7028.
NPI number for Michael David Farjellah is 1447400478 and his current mailing address is 8103 Purple Aster Pass, Lago Vista, Texas. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1447400478.
Healthcare Provider's Profile
| Full Name | Michael David Farjellah |
|---|
| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 8103 Purple Aster Pass, Lago Vista, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1447400478
- Provider Enumeration Date: 09/26/2008
- Last Update Date: 10/07/2024
Medical Identifiers
Medical identifiers for Michael David Farjellah such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1447400478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 247249 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 40363 (Texas) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael David Farjellah is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Michael David Farjellah, PHD
8103 Purple Aster Pass,
Lago Vista, TX 78645-2294
Ph: (210) 844-7028 | Michael David Farjellah, PHD
8103 Purple Aster Pass,
Lago Vista, TX 78645-2294
Ph: (210) 844-7028 |
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