| Via Nova Neuropsychology | |
|
6301 Gaston Ave Ste 1132 Dallas TX 75214-3956 | |
| (408) 357-3124 | |
| Not Available |
| Full Name | Via Nova Neuropsychology |
|---|---|
| Speciality | Psychologist |
| Location | 6301 Gaston Ave Ste 1132, Dallas, Texas |
| Authorized Official Name and Position | Cinnamon Westbrook (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8314023166 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Via Nova Neuropsychology 6301 Gaston Ave Ste 1132 Dallas TX 75214-3956 Ph: (408) 357-3124 | Via Nova Neuropsychology 6301 Gaston Ave Ste 1132 Dallas TX 75214-3956 Ph: (408) 357-3124 |
| NPI Number | 1538978085 |
|---|---|
| Provider Enumeration Date | 12/30/2024 |
| Last Update Date | 07/30/2025 |
| Certification Date | 07/30/2025 |
| Medicare PECOS PAC ID | 0446789101 |
|---|---|
| Medicare Enrollment ID | O20250124000605 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538978085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Cinnamon Paige Westbrook Porter |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1750644613 PECOS PAC ID: 1355870015 Enrollment ID: I20250124000667 |
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