| Senior Neuropsychological Associates, Pc | |
|
6225 Paper Shell Way Fort Worth TX 76179-9286 | |
| (817) 988-1236 | |
| (817) 750-1237 |
| Full Name | Senior Neuropsychological Associates, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 6225 Paper Shell Way, Fort Worth, Texas |
| Authorized Official Name and Position | Bret G Bentz (OWNER) |
| Authorized Official Contact | 8179881236 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Senior Neuropsychological Associates, Pc 6225 Paper Shell Way Fort Worth TX 76179-9286 Ph: (817) 988-1236 | Senior Neuropsychological Associates, Pc 6225 Paper Shell Way Fort Worth TX 76179-9286 Ph: (817) 988-1236 |
| NPI Number | 1356522288 |
|---|---|
| Provider Enumeration Date | 11/20/2007 |
| Last Update Date | 04/29/2014 |
| Medicare PECOS PAC ID | 8426241233 |
|---|---|
| Medicare Enrollment ID | O20101025000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356522288 | NPI | - | NPPES |
| 159445901 | Medicaid | TX | |
| 0015MJ | Other | TX | BLUE CROSS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 31579 (Texas) | Primary |
| Provider Name | Bret G Bentz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1174552426 PECOS PAC ID: 6103019914 Enrollment ID: I20101025000435 |
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