Organization
ELDERPSYCH CARE PLLC
Active
Other names
Senior Insights
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY S HUPP PHD (OWNER)
(254) 542-7200
Entity
Organization
Contact information
Practice address
1007 W. HIGHWAY 190, STE B, COPPERAS COVE, TX 76522-3886
(254) 542-7200
(866) 602-0977
Mailing address
PO BOX 938, KILLEEN, TX 76540-0938
(254) 634-6999
(254) 200-4099
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3-1593
TX
103T00000X
Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0087QA
BCBS
TX
05
—
188410801
—
TX
Enumeration date
03/27/2007
Last updated
12/15/2010
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