| Ar Psychological Services Pllc | |
|
231 E Southlake Blvd Suite 140 Southlake TX 76092-6285 | |
| (908) 720-3118 | |
| Not Available |
| Full Name | Ar Psychological Services Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 231 E Southlake Blvd, Southlake, Texas |
| Authorized Official Name and Position | Amanpreet Randazzo (CEO) |
| Authorized Official Contact | 9087203118 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ar Psychological Services Pllc 231 E Southlake Blvd Suite 140 Southlake TX 76092-6285 Ph: (908) 720-3118 | Ar Psychological Services Pllc 231 E Southlake Blvd Suite 140 Southlake TX 76092-6285 Ph: (908) 720-3118 |
| NPI Number | 1467892810 |
|---|---|
| Provider Enumeration Date | 06/30/2013 |
| Last Update Date | 07/22/2014 |
| Medicare PECOS PAC ID | 2668616434 |
|---|---|
| Medicare Enrollment ID | O20130917000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467892810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 34091 (* (Not Available)) | Primary |
| Provider Name | Amanpreet Randazzo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467696823 PECOS PAC ID: 6800948480 Enrollment ID: I20090713000054 |
| Provider Name | Jamie Randle |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679997449 PECOS PAC ID: 4183017890 Enrollment ID: I20220201002162 |
| Provider Name | Rebecca Rae Pierce |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003461013 PECOS PAC ID: 0143614370 Enrollment ID: I20220303001208 |
| Provider Name | Andrea Slaughter |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871934000 PECOS PAC ID: 5597150383 Enrollment ID: I20220314001226 |
| Provider Name | Kelsey Gibbs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366141392 PECOS PAC ID: 5092174599 Enrollment ID: I20230630001498 |
| Provider Name | Emily Marquez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063118859 PECOS PAC ID: 6800255936 Enrollment ID: I20230706003591 |
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