| Blue Star Psychology & Consulting, Pllc | |
|
5055 W Park Blvd Ste 400 Plano TX 75093-2590 | |
| (940) 290-2565 | |
| Not Available |
| Full Name | Blue Star Psychology & Consulting, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 5055 W Park Blvd Ste 400, Plano, Texas |
| Authorized Official Name and Position | Ursula Alford (PRESIDENT) |
| Authorized Official Contact | 9402902565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Star Psychology & Consulting, Pllc 5055 W Park Blvd Ste 400 Plano TX 75093-2590 Ph: (940) 290-2565 | Blue Star Psychology & Consulting, Pllc 5055 W Park Blvd Ste 400 Plano TX 75093-2590 Ph: (940) 290-2565 |
| NPI Number | 1679162564 |
|---|---|
| Provider Enumeration Date | 01/14/2021 |
| Last Update Date | 05/21/2022 |
| Certification Date | 05/21/2022 |
| Medicare PECOS PAC ID | 7012302466 |
|---|---|
| Medicare Enrollment ID | O20220322000143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679162564 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TR0400X | Psychologist - Rehabilitation | (* (Not Available)) | Primary |
| Provider Name | Ursula Hays Alford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992023105 PECOS PAC ID: 5294120648 Enrollment ID: I20220322000212 |
| Provider Name | Michelle S Torres |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1548707714 PECOS PAC ID: 3375922032 Enrollment ID: I20220627001530 |
| Provider Name | Tina M Rice |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386288405 PECOS PAC ID: 7315320108 Enrollment ID: I20220811000502 |
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