| Graciela F Reyes-mcdonald | |
|
5525 Erindale Dr Ste 260a Colorado Springs CO 80918-6962 | |
| (281) 815-0899 | |
| (281) 528-1107 |
| Full Name | Graciela F Reyes-mcdonald |
|---|---|
| Speciality | Psychologist |
| Location | 5525 Erindale Dr Ste 260a, Colorado Springs, Colorado |
| Authorized Official Name and Position | Graciela Reyes-mcdonald (DIRECTOR) |
| Authorized Official Contact | 2818150899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Graciela F Reyes-mcdonald 26010 Oak Ridge Dr Ste 107 The Woodlands TX 77380-1972 Ph: () - | Graciela F Reyes-mcdonald 5525 Erindale Dr Ste 260a Colorado Springs CO 80918-6962 Ph: (281) 815-0899 |
| NPI Number | 1336542810 |
|---|---|
| Provider Enumeration Date | 09/29/2014 |
| Last Update Date | 03/19/2025 |
| Certification Date | 03/18/2025 |
| Medicare PECOS PAC ID | 0244651917 |
|---|---|
| Medicare Enrollment ID | O20200604001797 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336542810 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TS0200X | Psychologist - School | 34971 (Texas) | Secondary |
| 103TS0200X | Psychologist - School | 36546 (Texas) | Primary |
| Provider Name | Graciela Reyes-mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1619398989 PECOS PAC ID: 5496074072 Enrollment ID: I20200604001939 |
| Provider Name | Brittany Thorne Allen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013408665 PECOS PAC ID: 3375964067 Enrollment ID: I20200604002595 |
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