| Advanced Psychological Services, Pllc | |
|
8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 | |
| (210) 202-0100 | |
| Not Available |
| Full Name | Advanced Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 8626 Tesoro Dr Ste 490, San Antonio, Texas |
| Authorized Official Name and Position | Lori Gulley (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 2109068355 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Advanced Psychological Services, Pllc 8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 Ph: (210) 202-0100 | Advanced Psychological Services, Pllc 8626 Tesoro Dr Ste 490 San Antonio TX 78217-6217 Ph: (210) 202-0100 |
| NPI Number | 1164134441 |
|---|---|
| Provider Enumeration Date | 12/19/2022 |
| Last Update Date | 08/07/2025 |
| Certification Date | 08/07/2025 |
| Medicare PECOS PAC ID | 6103298690 |
|---|---|
| Medicare Enrollment ID | O20230209001440 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164134441 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lori Lyn Gulley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730454042 PECOS PAC ID: 7911379409 Enrollment ID: I20230209001517 |
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