Monterey Psychological Services, Pllc | |
945 Stockton Dr Unit 3130 Allen TX 75013-6157 | |
(469) 291-9009 | |
(866) 433-3741 |
Full Name | Monterey Psychological Services, Pllc |
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Speciality | Psychologist |
Location | 945 Stockton Dr Unit 3130, Allen, Texas |
Authorized Official Name and Position | Amanda Gayle Glover (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 4695192782 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Monterey Psychological Services, Pllc 945 Stockton Dr Unit 3130 Allen TX 75013-6157 Ph: (469) 291-9009 | Monterey Psychological Services, Pllc 945 Stockton Dr Unit 3130 Allen TX 75013-6157 Ph: (469) 291-9009 |
NPI Number | 1306205588 |
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Provider Enumeration Date | 02/17/2016 |
Last Update Date | 12/17/2024 |
Certification Date | 12/17/2024 |
Medicare PECOS PAC ID | 9739479288 |
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Medicare Enrollment ID | O20160613000576 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306205588 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103TC0700X | Psychologist - Clinical | 34158 (Texas) | Primary |
Provider Name | Amanda G Glover |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1922395730 PECOS PAC ID: 5496920084 Enrollment ID: I20111209000330 |
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