| Dr Liam K Mancuso, PHD | |
|
845 S Lillian St, Ste A, Stephenville, TX 76401-5166 | |
| (832) 954-5546 | |
| Not Available |
| Full Name | Dr Liam K Mancuso |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical |
| Location | 845 S Lillian St, Stephenville, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912163528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 33426 (Texas) | Secondary |
| 103TC0700X | Psychologist - Clinical | 33426 (Texas) | Primary |
| Entity Name | Supportive Care Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1477895043 PECOS PAC ID: 7719126655 Enrollment ID: O20130625000484 |
| Entity Name | Ipc Pac Healthcare Services Of Texas Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194174201 PECOS PAC ID: 1759676307 Enrollment ID: O20160823000163 |
| Entity Name | Nv Pacs 2 Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427534809 PECOS PAC ID: 0941550578 Enrollment ID: O20210820003080 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Liam K Mancuso, PHD 126 Byron St, Stephenville, TX 76401-4602 Ph: (832) 954-5546 | Dr Liam K Mancuso, PHD 845 S Lillian St, Ste A, Stephenville, TX 76401-5166 Ph: (832) 954-5546 |
Dr. Stephanie Robertson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1333 W Washington T-1052, Stephenville, TX 76402 Phone: 254-968-9813 | |
Dr. Julie Griffin Fambro, PH.D., LP, LSSP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4995 County Road 513, Stephenville, TX 76401 Phone: 512-914-1362 |