Organization
PEDIATRIC NEUROPSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAQUEL KIRMSE (NEUROPSYCHOLOGIST)
(954) 224-8084
Entity
Organization
Contact information
Practice address
6517 W PLANO PKWY STE C, PLANO, TX 75093-0040
(469) 887-0208
Mailing address
5682 LAKE DISTRICT DR UNIT 201, THE COLONY, TX 75056-4389
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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