Holly Bearden

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Bartonville, TX

NPI 1619644820 · NPPES record last updated Sep 7, 2021

Key facts

NPI
1619644820
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
2652 FM 407 E Ste 235
Bartonville, TX 76226-7025
Phone
(940) 205-8335
Fax
(866) 899-7939
NPI assigned
Aug 25, 2021
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrus Psychological Services Corp Current
since May 16, 2022
Accepting new patients

Locations

2652 FM 407 E
Ste 235
Bartonville, TX 76226
Phone (940) 205-8335

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Yes

Addresses

Primary practice location

2652 FM 407 E Ste 235
Bartonville, TX 76226-7025

Mailing address

2652 FM 407 E Ste 235
Bartonville, TX 76226-7025
Phone (940) 205-8335

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL spectruspsych.com Direct Spectrus Psychological Services, PLLC
Other URL Identillect Direct

Other providers in Bartonville, TX

All providers in Bartonville, TX · Student in an Organized Health Care Education/Training Program in Texas

Sources for this page

Verify at the official NPI Registry.