| Elderpsych Care Pllc | |
|
1007 W. Highway 190 Ste B Copperas Cove TX 76522-3886 | |
| (254) 542-7200 | |
| (866) 602-0977 |
| Full Name | Elderpsych Care Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 1007 W. Highway 190, Copperas Cove, Texas |
| Authorized Official Name and Position | Gregory S Hupp (OWNER) |
| Authorized Official Contact | 2545427200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elderpsych Care Pllc Po Box 938 Killeen TX 76540-0938 Ph: (254) 634-6999 | Elderpsych Care Pllc 1007 W. Highway 190 Ste B Copperas Cove TX 76522-3886 Ph: (254) 542-7200 |
| NPI Number | 1083732838 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 12/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083732838 | NPI | - | NPPES |
| 0087QA | Other | TX | BCBS |
| 188410801 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 3-1593 (Texas) | Primary |
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