Provider Demographics
NPI:1407888282
Name:VALLEY PSYCHOLOGICAL SERVICES PC
Entity Type:Organization
Organization Name:VALLEY PSYCHOLOGICAL SERVICES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER LICENSED PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:HARVEY
Authorized Official - Last Name:MCCOY
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:956-682-0385
Mailing Address - Street 1:5109 S MCCOLL RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-7885
Mailing Address - Country:US
Mailing Address - Phone:956-682-0385
Mailing Address - Fax:956-682-0388
Practice Address - Street 1:5109 S MCCOLL RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78539-7885
Practice Address - Country:US
Practice Address - Phone:956-682-0385
Practice Address - Fax:956-682-0388
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2008-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup PsychotherapyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX168990301Medicaid
TX0048MDOtherBLUE CROSS BLUE SHIELD
TX00619XMedicare ID - Type Unspecified