| East Texas Psychological Services, Pllc | |
|
700 S Palestine St Athens TX 75751-3325 | |
| (903) 675-9570 | |
| (903) 675-9577 |
| Full Name | East Texas Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 700 S Palestine St, Athens, Texas |
| Authorized Official Name and Position | William A Mcbride (OWNER) |
| Authorized Official Contact | 9036759570 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Texas Psychological Services, Pllc 700 S Palestine St Athens TX 75751-3325 Ph: (903) 675-9570 | East Texas Psychological Services, Pllc 700 S Palestine St Athens TX 75751-3325 Ph: (903) 675-9570 |
| NPI Number | 1093029951 |
|---|---|
| Provider Enumeration Date | 08/03/2010 |
| Last Update Date | 08/03/2010 |
| Medicare PECOS PAC ID | 3274702899 |
|---|---|
| Medicare Enrollment ID | O20110816000096 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093029951 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 26853 (Texas) | Primary |
| Provider Name | William A Mcbride |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477581700 PECOS PAC ID: 3476684911 Enrollment ID: I20100628000923 |
| Provider Name | Robert Craig Nicks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053931014 PECOS PAC ID: 8022439710 Enrollment ID: I20200604002475 |
| Provider Name | Dawn Marie Lowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1831797794 PECOS PAC ID: 8921418542 Enrollment ID: I20201110000302 |
| Provider Name | Andrea N Ellison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093402380 PECOS PAC ID: 1850742115 Enrollment ID: I20240111000197 |
| Provider Name | William A Pace |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326332685 PECOS PAC ID: 1951752070 Enrollment ID: I20240112001518 |
| Provider Name | Kathy L Mclelland |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649325424 PECOS PAC ID: 8527419605 Enrollment ID: I20240112003627 |
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