Individual
DR. MICHAEL GEORGE DITSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7002 RIVER FRONT DR, 900A, SUGAR LAND, TX 77479
(281) 770-0826
(281) 656-6621
Mailing address
2522 COOLING BREEZE DR., RICHMOND, TX 77406
(281) 770-0826
(281) 656-6621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
34088
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01081201
CAPITAL BLUE CROSS
PA
01
—
2249048
CIGNA BEHAVIORAL HEALTH
PA
01
—
273439000
MAGELLAN
PA
01
—
366298
VALUE OPTIONS
PA
01
—
412766
PA BLUE SHIELD
PA
01
—
611638
BC/BS OF MD. CARE FIRST
PA
Enumeration date
06/21/2006
Last updated
02/04/2014
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