Marijo Medina Villano, is a
Psychologist - Counseling based in Addison, Texas. Marijo Medina Villano is licensed to practice in * (Not Available) (license number ) and her current practice location is
14275 Midway Rd Ste 260, Addison, Texas. She can be reached at her office (for appointments etc.) via phone at
(944) 546-9665.
NPI number for Marijo Medina Villano is 1992314397 and her current mailing address is 14275 Midway Rd Ste 260, Addison, Texas. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992314397.
Healthcare Provider's Profile
| Full Name | Marijo Medina Villano |
|---|
| Gender | Female |
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| Speciality | Psychologist - Counseling |
|---|
| Location | 14275 Midway Rd Ste 260, Addison, Texas |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1992314397
- Provider Enumeration Date: 07/30/2020
- Last Update Date: 07/30/2020
Medical Identifiers
Medical identifiers for Marijo Medina Villano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992314397 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC1900X | Psychologist - Counseling | (* (Not Available)) | 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. Marijo Medina Villano 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 |
|---|
Marijo Medina Villano,
14275 Midway Rd Ste 260,
Addison, TX 75001-3613
Ph: (469) 665-9445 | Marijo Medina Villano,
14275 Midway Rd Ste 260,
Addison, TX 75001-3613
Ph: (944) 546-9665 |
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