Organization
CENTER FOR HEALTH PSYCHOLOGY, PC
Active
Other names
ActionCare Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DWAYNE D MARROTT PHD (PSYCHOLOGIST/ PRESIDENT)
(915) 598-6616
Entity
Organization
Contact information
Practice address
10450 BRIAN MOONEY AVE, EL PASO, TX 79935
(915) 598-6616
(915) 598-6651
Mailing address
PO BOX 370838, EL PASO, TX 79937
(915) 598-6616
(915) 598-6651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
24316
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
034403801
—
TX
01
—
8F22682
MEDICARE
TX
Enumeration date
05/30/2007
Last updated
05/24/2010
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