| Momentum Psychological Services, Pllc | |
|
520 Central Pkwy E Suite 234 Plano TX 75074-5587 | |
| (214) 674-8806 | |
| Not Available |
| Full Name | Momentum Psychological Services, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 520 Central Pkwy E, Plano, Texas |
| Authorized Official Name and Position | Christopher Blaine Meador (OWNER) |
| Authorized Official Contact | 2146748806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Momentum Psychological Services, Pllc Po Box 864047 Plano TX 75086-4047 Ph: (214) 674-8806 | Momentum Psychological Services, Pllc 520 Central Pkwy E Suite 234 Plano TX 75074-5587 Ph: (214) 674-8806 |
| NPI Number | 1417310988 |
|---|---|
| Provider Enumeration Date | 04/01/2016 |
| Last Update Date | 04/01/2016 |
| Medicare PECOS PAC ID | 3971845686 |
|---|---|
| Medicare Enrollment ID | O20190430000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417310988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 21056 (Texas) | Primary |
| Provider Name | Christopher Blaine Meador |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679537724 PECOS PAC ID: 5294706008 Enrollment ID: I20040804001443 |
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