| Cncbt Psychological Services, Pllc | |
|
1120 Knoll St Aubrey TX 76227-1810 | |
| (213) 234-8268 | |
| Not Available |
| Full Name | Cncbt Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1120 Knoll St, Aubrey, Texas |
| Authorized Official Name and Position | Richard K Sohn (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 2132348268 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cncbt Psychological Services, Pllc 1120 Knoll St Aubrey TX 76227-1810 Ph: (213) 234-8268 | Cncbt Psychological Services, Pllc 1120 Knoll St Aubrey TX 76227-1810 Ph: (213) 234-8268 |
| NPI Number | 1548095623 |
|---|---|
| Provider Enumeration Date | 09/06/2024 |
| Last Update Date | 09/06/2024 |
| Certification Date | 09/06/2024 |
| Medicare PECOS PAC ID | 5991246589 |
|---|---|
| Medicare Enrollment ID | O20240923003674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548095623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Richard K Sohn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407972425 PECOS PAC ID: 5496895492 Enrollment ID: I20231114002222 |
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