Organization Name: | MISCHCA T. SCALES, PHD, PLLC |
NPI Number: | 1194040709 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MISCHCA T SCALES (PSYCHOLOGIST) |
Mailing Address: | 111 N Hasler Blvd Suite 207 Bastrop |
State: | TX US |
Postal Code: | 786023831 |
Phone Number: | 5125076342 |
Fax Number: | 5125319271 |
NPI Enumeration Date: | 04/07/2010 |
NPI Last Update Date: | 12/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 31559 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |