Organization
PERFORMANCE NEUROPSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK THOMAS BARISA PHD (NEUROPSYCHOLOGIST)
(469) 400-6230
Entity
Organization
Contact information
Practice address
4645 AVON LN STE 285, FRISCO, TX 75033-1609
(972) 632-0033
(214) 501-0809
Mailing address
PO BOX 6001, FRISCO, TX 75035
(469) 400-6230
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
34011
TX
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
34011
TX
261QM0850X
Adult Mental Health Clinic/Center
34011
TX
261QM0855X
Adolescent and Children Mental Health Clinic/Center
34011
TX
Other
Enumeration date
02/06/2018
Last updated
12/29/2021
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