| Jegede & Associates, Pllc | |
|
2311 Mustang Dr Ste 200 Grapevine TX 76051-1010 | |
| (817) 600-8892 | |
| (682) 503-6106 |
| Full Name | Jegede & Associates, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 2311 Mustang Dr Ste 200, Grapevine, Texas |
| Authorized Official Name and Position | Adejoke Jegede (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 8176008892 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jegede & Associates, Pllc 2101 Shannon Oxmoor Rd # 67 Shannon AL 35142-2000 Ph: (888) 212-4243 | Jegede & Associates, Pllc 2311 Mustang Dr Ste 200 Grapevine TX 76051-1010 Ph: (817) 600-8892 |
| NPI Number | 1669997375 |
|---|---|
| Provider Enumeration Date | 08/03/2017 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Medicare PECOS PAC ID | 1658643606 |
|---|---|
| Medicare Enrollment ID | O20170825000589 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669997375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 34277 (Texas) | Primary |
| Provider Name | Adejoke B Jegede |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750528741 PECOS PAC ID: 4486704988 Enrollment ID: I20090603000596 |
| Provider Name | Jamie G Mcnichol |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265623060 PECOS PAC ID: 0244362218 Enrollment ID: I20100712000080 |
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