INTEGRA PSYCHOLOGICAL SERVICES NPI 1083260392

NPI Information

NPI: 1083260392
Provider Name: INTEGRA PSYCHOLOGICAL SERVICES
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

Address:
611 S HIGHWAY 78 STE 211
WYLIE, TX
ZIP 75098
Phone: (972) 442-0605
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INTEGRA PSYCHOLOGICAL SERVICES is a mental health (including community mental health center) clinic center in Wylie, TX. INTEGRA PSYCHOLOGICAL SERVICES NPI is 1083260392. The provider is registered as an organization entity type.

The provider's business location address is:

611 S HIGHWAY 78 STE 211
WYLIE, TX
ZIP 75098-081
Phone: (972) 442-0605

The provider's authorized official is Donya Blair-tischer .
The authorized official title is Clinical Psychologist and has the following contact phone number (701) 640-9453.

The enumeration date for this NPI number is 8/13/2019 and was last updated on 8/13/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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