| Dallas Neuropsychology Pllc | |
|
777 Justin Rd Rockwall TX 75087-4840 | |
| (214) 620-5580 | |
| (469) 264-5037 |
| Full Name | Dallas Neuropsychology Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 777 Justin Rd, Rockwall, Texas |
| Authorized Official Name and Position | Brandi Buchanan (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 2146205580 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dallas Neuropsychology Pllc 777 Justin Rd Rockwall TX 75087-4840 Ph: (214) 620-5580 | Dallas Neuropsychology Pllc 777 Justin Rd Rockwall TX 75087-4840 Ph: (214) 620-5580 |
| NPI Number | 1407399983 |
|---|---|
| Provider Enumeration Date | 12/01/2016 |
| Last Update Date | 04/23/2024 |
| Certification Date | 04/23/2024 |
| Medicare PECOS PAC ID | 8921376310 |
|---|---|
| Medicare Enrollment ID | O20170607001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407399983 | NPI | - | NPPES |
| 375101801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 37022 (Texas) | Primary |
| 2355S0801X | Specialist/technologist - Speech-language Assistant | (* (Not Available)) | Secondary |
| Provider Name | Brandi M Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1659761625 PECOS PAC ID: 8820316862 Enrollment ID: I20150423000448 |
| Provider Name | Carrie Minette Murdick |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1477114288 PECOS PAC ID: 6800229816 Enrollment ID: I20191205001492 |
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