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NPI Code Detail

MEDICARE: BETTY J FEIR PHD LPC GROUP

MEDICARE: BETTY J FEIR PHD LPC GROUP
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1992943286
Entity Type Code : Organization
Provider Name (Legal Business Name) : BETTY J FEIR PHD LPC GROUP
Provider Business Mailing Address
First Line : 5501 MEDICAL PARKWAY DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-4624
Country : US
Telephone Number : 903-793-8588
Fax Number :
Provider Business Practice Location Address
First Line : 5501 MEDICAL PARKWAY DR
Second Line :
City : TEXARKANA
State : TX
Zip : 75503-4624
Country : US
Telephone Number : 903-793-8588
Fax Number :
Authorized Official
Title or Position : OWNER
Name : BETTY J FEIR
Credential : PHD
Telephone Number : 903-793-8588
Provider Enumeration Date : 01/26/2009
Last Update Date : 01/26/2009

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Directions to “BETTY J FEIR PHD LPC GROUP ” Practice Location

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