Organization · Type 2 NPI

Lake Shore Center for Psychological Services, P.c.

Clinical Psychologist · Waco, TX

NPI number 1467599779 Active

Practice location

4555 Lake Shore Dr
Waco, TX 76710-1814

Fax (254) 776-0637

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XNone listed
Psychologist 103T00000XNone listed
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1467599779

Lake Shore Center for Psychological Services, P.c.'s National Provider Identifier is 1467599779, issued on Jan 30, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Waco, TX. The record was last updated on Jan 5, 2011.