Dr. Marietta Baccus Richard is a Southlake, Texas based psychologist with 34 years of experience in Clinical Psychology. She completed her graduation in 1990. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Marietta Baccus Richard is 24396 for Clinical Psychology in Texas. Her current practice location is 1725 E Southlake Blvd Ste 102, Southlake. Patients can reach her at 682-477-4400. Dr. Marietta Baccus Richard is PH.D in Clinical Psychology and her NPI number (Unique professional ID assigned by NPPES) is 1699950782. Dr. Marietta Baccus Richard is a mental health professional with highly specialized training in the diagnosis and psychological treatment of mental, behavioral and emotional illnesses, including obsessive-compulsive disorder (OCD). Her main focus is on diagnosing and treating mental, emotional, and behavioral disorders. Some of the common disorders that she can treat are learning disabilities, substance abuse, depression, anxiety, and eating disorders.
Complete Profile:
Dr. Marietta Baccus Richard speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Dr. Marietta Baccus Richard
Specialization:
Clinical Psychology
Gender:
Female
Credentials:
PH.D
Experience:
34+ years
Medical School Attended:
Other
Graduation Year:
1990
Accepts Medicare Assignment:
Yes
Practice Address:
1725 E Southlake Blvd Ste 102, Southlake, Texas, 76092-6457
Phone:
682-477-4400
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
3971680240
Enrollment ID:
I20080410000573
NPI Number:
1699950782
NPI Enumeration Date:
08 Jan, 2008
NPI Last Update On:
28 Jun, 2019
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Marietta Baccus Richard are as mentioned below.
License Number
Specialization
State
Status
24396
Clinical Psychology
Texas
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Marietta Baccus Richard such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
8K4637
Other
Texas
DOCS MCR
8K4700
Other
Texas
DOMHA MCR
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Dr. Marietta Baccus Richard 1725 E Southlake Blvd Ste 102, Southlake, Texas
Zip:
76092-6457
Phone Number:
682-477-4400
Patients can reach Dr. Marietta Baccus Richard at 1725 E Southlake Blvd Ste 102, Southlake, Texas or can call to book an appointment on 682-477-4400.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.