Michelle La Spata, PHD | |
1328 Lake Crest Ln, Lewisville, TX 75057-2615 | |
(630) 712-0019 | |
Not Available |
Full Name | Michelle La Spata |
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Gender | Female |
Speciality | Psychologist - Clinical Child & Adolescent |
Location | 1328 Lake Crest Ln, Lewisville, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1174109276 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TS0200X | Psychologist - School | 71870 (Texas) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 38624 (Texas) | Primary |
Entity Name | Progressive Behavioral Health, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763 |
Mailing Address | Practice Location Address |
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Michelle La Spata, PHD 1328 Lake Crest Ln, Lewisville, TX 75057-2615 Ph: (630) 712-0019 | Michelle La Spata, PHD 1328 Lake Crest Ln, Lewisville, TX 75057-2615 Ph: (630) 712-0019 |
Kristen Leslie Diamond, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 105 Kathryn Dr, Suite #800, Lewisville, TX 75067 Phone: 817-706-8575 Fax: 817-430-3604 | |
Whitney A Mcgee, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 401 N Valley Pkwy, Ste 400, Lewisville, TX 75067 Phone: 972-434-2301 Fax: 972-420-0646 | |
Lawrence Joseph Schneider, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 725 W Purnell Rd, Lewisville, TX 75067 Phone: 972-436-9311 Fax: 800-819-1655 | |
Wen Wen Chong, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4400 State Hwy 121, Ste 300 Pmb1202, Lewisville, TX 75056 Phone: 972-835-8189 | |
Stephanie Dianne Womack, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 650 S Edmonds Ln Ste 106, Lewisville, TX 75067 Phone: 214-396-3960 Fax: 214-396-3962 | |
Dr. Ronald C Hughes, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 725 W Purnell Rd, Lewisville, TX 75067 Phone: 972-436-2250 |