Provider Demographics
NPI:1073566584
Name:WACO PSYCHOLOGICAL ASSOCIATES
Entity Type:Organization
Organization Name:WACO PSYCHOLOGICAL ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:A
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:254-751-1550
Mailing Address - Street 1:8401 OLD MCGREGOR RD
Mailing Address - Street 2:
Mailing Address - City:WACO
Mailing Address - State:TX
Mailing Address - Zip Code:76712-6495
Mailing Address - Country:US
Mailing Address - Phone:254-751-1550
Mailing Address - Fax:254-751-9291
Practice Address - Street 1:8401 OLD MCGREGOR RD
Practice Address - Street 2:
Practice Address - City:WACO
Practice Address - State:TX
Practice Address - Zip Code:76712-6495
Practice Address - Country:US
Practice Address - Phone:254-751-1550
Practice Address - Fax:254-751-9291
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty