Neurodevelopment Associates Of North Texas
Counselor, Professional in Plano, TX. Organization (NPI-2).
NPI number1952809147
StatusActive
Last updated in NPPESJan 29, 2018
Details
- NPI
- 1952809147
- Entity type
- Organization (NPI-2)
- Legal business name
- Neurodevelopment Associates Of North Texas
- Organization subpart
- No
- Enumeration date
- Jan 23, 2018
- Last updated
- Jan 29, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | 65709 | TX |
Practice location
4508 Legacy Dr Ste 200Plano, TX 75024-2189
Phone 469-408-0331
Mailing address
4508 Legacy Dr Ste 200Plano, TX 75024-2189
Authorized official
Katherine Koehler
Doctor/Owner
4694080331
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