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NPI Code Detail

MEDICARE: MRS. ELMA NYDIA COMPEAN LPC, MED

MEDICARE:  MRS. ELMA NYDIA COMPEAN  LPC, MED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor69775TX

General Provider Information

NPI Number : 1285979286
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ELMA NYDIA COMPEAN LPC, MED
Provider Business Mailing Address
First Line : 1511 N EAST ST
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-2516
Country : US
Telephone Number : 956-844-2014
Fax Number :
Provider Business Practice Location Address
First Line : 1511 N EAST ST
Second Line :
City : RIO GRANDE CITY
State : TX
Zip : 78582-2516
Country : US
Telephone Number : 956-844-2014
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/01/2012
Last Update Date : 07/22/2014

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Directions to “ MRS. ELMA NYDIA COMPEAN LPC, MED” Practice Location

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