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NPI Code Detail

MEDICARE: MS. PHYLLIS DONNELLE SENSAT LCSW

MEDICARE: MS. PHYLLIS DONNELLE SENSAT LCSW
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
11041C0700XClinical Social Worker4473LA

General Provider Information

NPI Number : 1457686370
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PHYLLIS DONNELLE SENSAT LCSW
Provider Business Mailing Address
First Line : 6021 FAIRMONT PARKWAY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 817-692-2382
Fax Number : 281-729-2164
Provider Business Practice Location Address
First Line : 6021 FAIRMONT PARKWAY STE 200
Second Line :
City : PASADENA
State : TX
Zip : 77505-4511
Country : US
Telephone Number : 817-692-2382
Fax Number : 281-729-2164
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2009
Last Update Date : 11/17/2022

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