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Mission Psychological Center, P.A.

Clinic/Center, Mental Health (Including Community Mental Health Center) in Mission, TX. Organization (NPI-2).

NPI number1730219007
StatusActive
Last updated in NPPESAug 11, 2020

Details

NPI
1730219007
Entity type
Organization (NPI-2)
Legal business name
Mission Psychological Center, P.A.
Organization subpart
No
Enumeration date
Mar 6, 2007
Certification date
Aug 11, 2020
Last updated
Aug 11, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

2504 N Conway Ave
Mission, TX 78574-2349

Phone 956-519-9000 · Fax 956-519-7722

Mailing address

2504 N Conway Ave
Mission, TX 78574-2349

Phone 956-519-9000 · Fax 956-519-7722

Authorized official

Barry D. Berger
President
9565199000

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