| Stephen T. Belk Psy.d. Pllc | |
|
409 Industrial Blvd Ste 300 Burnet TX 78611-4557 | |
| (830) 596-0377 | |
| (888) 247-6536 |
| Full Name | Stephen T. Belk Psy.d. Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 409 Industrial Blvd Ste 300, Burnet, Texas |
| Authorized Official Name and Position | Stephen Taylor Belk (MANAGING MEMBER) |
| Authorized Official Contact | 8305900377 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen T. Belk Psy.d. Pllc 305 Onyx Dr Horseshoe Bay TX 78657-6340 Ph: (830) 596-0377 | Stephen T. Belk Psy.d. Pllc 409 Industrial Blvd Ste 300 Burnet TX 78611-4557 Ph: (830) 596-0377 |
| NPI Number | 1598280497 |
|---|---|
| Provider Enumeration Date | 08/11/2017 |
| Last Update Date | 07/19/2022 |
| Certification Date | 07/19/2022 |
| Medicare PECOS PAC ID | 5597037572 |
|---|---|
| Medicare Enrollment ID | O20170825001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598280497 | NPI | - | NPPES |
| 1942219357 | Medicaid | TX | |
| 1598280497 | Other | TX | NPI2 |
| 1942219357 | Other | MO | NPI I |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 33688 (Texas) | Primary |
| Provider Name | Stephen T Belk |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942219357 PECOS PAC ID: 7911905567 Enrollment ID: I20140226001084 |
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