| Beacon Community Services | |
|
1560 E Southlake Blvd Ste 100 Southlake TX 76092-6462 | |
| (817) 745-4526 | |
| Not Available |
| Full Name | Beacon Community Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1560 E Southlake Blvd Ste 100, Southlake, Texas |
| Authorized Official Name and Position | Andrea Lynn Rice (CLINICAL DIRECTOR) |
| Authorized Official Contact | 8177398013 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beacon Community Services 1560 E Southlake Blvd Ste 100 Southlake TX 76092-6462 Ph: (817) 745-4526 | Beacon Community Services 1560 E Southlake Blvd Ste 100 Southlake TX 76092-6462 Ph: (817) 745-4526 |
| NPI Number | 1710759303 |
|---|---|
| Provider Enumeration Date | 10/26/2023 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710759303 | NPI | - | NPPES |
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