Jodi Ceballos, Psy.D., Pllc

LBN: Jodi Ceballos, Psy.D., Pllc
Jodi Ceballos, Psy.D., Pllc is an health care organization with primary practice located at 901 N Bedell Ave Ste F , Del Rio TX 78840-4170. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as the primary health care specialty. Jodi Ceballos, Psy.D., Pllc can be contacted via phone (830) 313-6268, or through Ceballos, Jodi L via phone (830) 313-6268.

Contact Information

Primary practice address
901 N Bedell Ave Ste F Del Rio TX 78840-4170
Phone: (830) 313-6268
Fax: (830) 433-8228
Website:
Map and Directions
Authorized official contact:
Name: Ceballos, Jodi L PSY.D.
Phone: (830) 313-6268

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 34985 Texas

Profile Details

NPI number 1760758940
LBN Legal business name Jodi Ceballos, Psy.D., Pllc
DBA Doing business as
Authorized official Ceballos, Jodi L PSY.D.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2012
Last updated Apr 1st, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760758940 NPPES
Texas MEDICAID 286660001

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