| Performance Neuropsychology Pllc | |
|
4645 Avon Ln Ste 285 Frisco TX 75033-1609 | |
| (972) 632-0033 | |
| (214) 501-0809 |
| Full Name | Performance Neuropsychology Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4645 Avon Ln Ste 285, Frisco, Texas |
| Authorized Official Name and Position | Mark Thomas Barisa (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 4694006230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Performance Neuropsychology Pllc Po Box 6001 Frisco TX 75035 Ph: (469) 400-6230 | Performance Neuropsychology Pllc 4645 Avon Ln Ste 285 Frisco TX 75033-1609 Ph: (972) 632-0033 |
| NPI Number | 1770082745 |
|---|---|
| Provider Enumeration Date | 02/06/2018 |
| Last Update Date | 12/29/2021 |
| Certification Date | 12/29/2021 |
| Medicare PECOS PAC ID | 7517217870 |
|---|---|
| Medicare Enrollment ID | O20180906002496 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770082745 | NPI | - | NPPES |
| Provider Name | Mark Thomas Barisa |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1417960840 PECOS PAC ID: 9032118070 Enrollment ID: I20180906002628 |
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