<Unavail>

LBN: Behavioral Psychology Clinic, Pc
<Unavail> is an health care organization with primary practice located at 5201 S Westmoreland Rd , Dallas TX 75237-1622. The organization recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Psychologist is the primary health care specialty. Behavioral Psychology Clinic, Pc can be contacted via phone (214) 339-2047, or through Ingram, Jesse C via phone (214) 339-2047.

Contact Information

Primary practice address
5201 S Westmoreland Rd Dallas TX 75237-1622
Phone: (214) 339-2047
Fax: (214) 339-2049
Website:
Map and Directions
Authorized official contact:
Name: Ingram, Jesse C PH.D.
Phone: (214) 339-2047

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 2-3078 Texas
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 2-3078 Texas
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2-3078 Texas
Behavioral Health & Social Service Providers / Counseling 103TC1900X 2-3078 Texas
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X 2-3078 Texas

Profile Details

NPI number 1063530301
LBN Legal business name Behavioral Psychology Clinic, Pc
DBA Doing business as <Unavail>
Authorized official Ingram, Jesse C PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 26th, 2007
Last updated Jul 21st, 2010 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063530301 NPPES
Texas MEDICAID 034167901
Texas Other 81678P

Popular Providers