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NPI Code Detail

MEDICARE: DR. AIDA JANET SAPP PHD, PMHCNS/NP, LMFT

MEDICARE: DR. AIDA JANET SAPP PHD, PMHCNS/NP, LMFT
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerAP104373TX
2106H00000XMarriage & Family Therapist003310-041463TX
3364SP0809XAdult Psychiatric/Mental Health Clinical Nurse SpecialistAP104373TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
18287BHOTHERTXBCBS

General Provider Information

NPI Number : 1831197482
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AIDA JANET SAPP PHD, PMHCNS/NP, LMFT
Provider Business Mailing Address
First Line : PO BOX 844658
Second Line :
City : DALLAS
State : TX
Zip : 75284-4658
Country : US
Telephone Number : 800-994-0371
Fax Number : 254-774-9672
Provider Business Practice Location Address
First Line : 200 W CALHOUN AVE
Second Line :
City : TEMPLE
State : TX
Zip : 76501-3127
Country : US
Telephone Number : 254-774-8806
Fax Number : 254-774-9672
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2005
Last Update Date : 05/07/2026

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