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Organization

MADRE BAY CONSULTING AND PSYCHOLOGICAL SERVICES, PLLC

Active
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Organization

MADRE BAY CONSULTING AND PSYCHOLOGICAL SERVICES, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. MARSHA N SARGEANT PHD (OWNER)
(956) 299-6107
Entity
Organization

Contact information

Practice address
215 E QUEEN ISABELLA BLVD STE 102B, PORT ISABEL, TX 78578-2434
(956) 299-6107
(956) 299-6107
Mailing address
922 N SHORE DR, PORT ISABEL, TX 78578-4633
(956) 299-6107

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
07392
TX
103TA0400X
Addiction (Substance Use Disorder) Psychologist
07392
TX
103TB0200X
Cognitive & Behavioral Psychologist
07392
TX
103TC0700X
Clinical Psychologist
Primary
07392
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
362234201
TX
01
P01804306
RAILROAD MEDICARE
TX
Enumeration date
06/30/2017
Last updated
06/30/2017
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