MEDICARE: TROY WILLIAM SHEIDE PSYD

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
1	103TC0700X	Clinical Psychologist	3698-57	WI
2	103TC0700X	Clinical Psychologist	41046	TX

General Provider Information

NPI Number	:	1386283810
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TROY WILLIAM SHEIDE PSYD

Provider Business Mailing Address
First Line	:	3206 LONGMIRE DR STE A10
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-5858
Country	:	US
Telephone Number	:	979-353-1251
Fax Number	:

Provider Business Practice Location Address
First Line	:	3206 LONGMIRE DR STE A10
Second Line	:
City	:	COLLEGE STATION
State	:	TX
Zip	:	77845-5858
Country	:	US
Telephone Number	:	979-353-1251
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/01/2020
Last Update Date	:	03/08/2026

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Directions to “ TROY WILLIAM SHEIDE PSYD” Practice Location

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