| Pediatric Neuropsychological Services, Pllc | |
|
6517 W Plano Pkwy Ste C Plano TX 75093-0040 | |
| (469) 887-0208 | |
| Not Available |
| Full Name | Pediatric Neuropsychological Services, Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 6517 W Plano Pkwy Ste C, Plano, Texas |
| Authorized Official Name and Position | Raquel Kirmse (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 9542248084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pediatric Neuropsychological Services, Pllc 5682 Lake District Dr Unit 201 The Colony TX 75056-4389 Ph: () - | Pediatric Neuropsychological Services, Pllc 6517 W Plano Pkwy Ste C Plano TX 75093-0040 Ph: (469) 887-0208 |
| NPI Number | 1942976774 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 08/20/2021 |
| Certification Date | 08/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942976774 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
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