Provider Demographics
NPI:1033639133
Name:TEW PSYCHOLOGICAL PLLC
Entity type:Organization
Organization Name:TEW PSYCHOLOGICAL PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TEW
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:469-573-0948
Mailing Address - Street 1:6675 MEDITERRANEAN DR STE 405
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75072-5623
Mailing Address - Country:US
Mailing Address - Phone:469-222-5434
Mailing Address - Fax:469-301-1308
Practice Address - Street 1:6675 MEDITERRANEAN DR STE 405
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75072-5623
Practice Address - Country:US
Practice Address - Phone:469-222-5434
Practice Address - Fax:469-222-5434
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TEW PSYCHOLOGICAL PLLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-06-21
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
No103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)Group - Single Specialty