| Marissa L Benners, PHD | |
|
3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 | |
| (940) 484-4311 | |
| (940) 484-5075 |
| Full Name | Marissa L Benners |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3304 Colorado Blvd Ste 102, Denton, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265048417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 38197 (Texas) | Primary |
| Entity Name | Cook Children's Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1710702907 PECOS PAC ID: 5597757740 Enrollment ID: O20180709002867 |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa L Benners, PHD Po Box 99213, Fort Worth, TX 76199-0213 Ph: (682) 885-1860 | Marissa L Benners, PHD 3304 Colorado Blvd Ste 102, Denton, TX 76210-6872 Ph: (940) 484-4311 |
Patricia Blakeney, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 914 N Locust St, Denton, TX 76201 Phone: 940-387-6250 Fax: 940-387-6274 | |
Dr. Marshall Bewley, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 207 W Hickory St Ste 304, Denton, TX 76201 Phone: 940-294-6789 | |
Mrs. Leslie Nicole Bullock, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 325 Cypress Creek Ln, Denton, TX 76210 Phone: 325-201-3855 | |
Dr. Kenneth W. Sewell, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 700 Londonderry Ln, Denton, TX 76205 Phone: 940-453-4515 | |
Dr. Elizabeth Noel Zak, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3201 Teasley Ln, Ste 303, Denton, TX 76210 Phone: 940-383-8282 Fax: 940-565-8170 | |
Dr. Cynthia A Peveto, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3201 Teasley Ln, Ste 303, Denton, TX 76210 Phone: 940-383-8282 Fax: 940-565-8170 | |
Dr. Shelley Ann Riggs, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1155 Union Cir #311280, University Of North Texas Department Of Psychology, Denton, TX 76203 Phone: 940-565-2672 Fax: 940-565-4682 |