Provider Demographics
NPI:1790184950
Name:INTERNATIONAL NEUROPSY CONSULTANTS, P.A.
Entity Type:Organization
Organization Name:INTERNATIONAL NEUROPSY CONSULTANTS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:KATRINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BELEN
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:972-503-2780
Mailing Address - Street 1:12800 PRESTON RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-1365
Mailing Address - Country:US
Mailing Address - Phone:972-503-2780
Mailing Address - Fax:972-503-2783
Practice Address - Street 1:12800 PRESTON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-1365
Practice Address - Country:US
Practice Address - Phone:972-503-2780
Practice Address - Fax:972-503-2783
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-13
Last Update Date:2014-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX34982103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty