Provider Demographics
NPI:1386041697
Name:KASPAREK PSYCHOLOGICAL SERVICES, PLLC
Entity Type:Organization
Organization Name:KASPAREK PSYCHOLOGICAL SERVICES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JANET
Authorized Official - Middle Name:K
Authorized Official - Last Name:KASPAREK
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:361-334-1952
Mailing Address - Street 1:5866 S STAPLES ST
Mailing Address - Street 2:SUITE 401
Mailing Address - City:CORPUS CHRISTI
Mailing Address - State:TX
Mailing Address - Zip Code:78413-3700
Mailing Address - Country:US
Mailing Address - Phone:361-334-1952
Mailing Address - Fax:361-334-2348
Practice Address - Street 1:5866 S STAPLES ST
Practice Address - Street 2:SUITE 401
Practice Address - City:CORPUS CHRISTI
Practice Address - State:TX
Practice Address - Zip Code:78413-3700
Practice Address - Country:US
Practice Address - Phone:361-334-1952
Practice Address - Fax:361-334-2348
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-02
Last Update Date:2014-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX31713103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty