| Psyclear, Llc | |
|
5055 West Park Boulevard Suite 400 Plano TX 75093 | |
| (972) 824-6577 | |
| Not Available |
| Full Name | Psyclear, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 5055 West Park Boulevard, Plano, Texas |
| Authorized Official Name and Position | Michael P Giunta (CLINICAL DIRECTOR) |
| Authorized Official Contact | 9728246577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psyclear, Llc 5055 West Park Boulevard Suite 400 Plano TX 75093 Ph: (972) 824-6577 | Psyclear, Llc 5055 West Park Boulevard Suite 400 Plano TX 75093 Ph: (972) 824-6577 |
| NPI Number | 1003461468 |
|---|---|
| Provider Enumeration Date | 08/02/2019 |
| Last Update Date | 06/15/2020 |
| Certification Date | 06/15/2020 |
| Medicare PECOS PAC ID | 3779916085 |
|---|---|
| Medicare Enrollment ID | O20191127000520 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003461468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Michael P Giunta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528402575 PECOS PAC ID: 4688007990 Enrollment ID: I20191127000564 |
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