Rasco, Reda G
Rasco, Reda G is an sole proprietor health care provider with primary practice located at 4722 Taft Blvd Ste 2 , Wichita Falls TX 76308-4800. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rasco, Reda G can be contacted via phone (940) 691-1899.Contact Information
Primary practice address
4722 Taft Blvd Ste 2
Wichita Falls TX 76308-4800
Phone: (940) 691-1899
Fax: (940) 691-3423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 19361 | Texas |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 34999 | Texas |
Profile Details
| NPI number | 1730224262 |
|---|---|
| LBN Legal business name | Rasco, Reda G |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Mar 10th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730224262 | NPPES |
| Texas | Other | 84576L | BLUE CROSS ID NUMBER |
| Texas | MEDICAID | 171788601 | BLUE CROSS ID NUMBER |
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