Organization
MISCHCA T. SCALES, PHD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISCHCA T SCALES PHD (PSYCHOLOGIST)
(512) 507-6342
Entity
Organization
Contact information
Practice address
111 N HASLER BLVD, SUITE 207, BASTROP, TX 78602-3831
(512) 507-6342
(512) 531-9271
Mailing address
7417 TURNBUOY DR, AUSTIN, TX 78730-4333
(512) 507-6342
(512) 531-9271
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31559
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
161254101
—
TX
01
—
600663363
BLUE CROSS BLUE SHIELD
TX
01
—
86843A
BLUE CROSS BLUE SHIELD
TX
Enumeration date
04/07/2010
Last updated
12/31/2010
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