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Contact Information

ALBERT E MAYO, PHD
912 S. ERVAY
DALLAS, TX75201
 Phone: 214-478-8379
 Fax: 972-581-4313
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALBERT E MAYO · (Male)

NPI # 1366794059
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/05/2012
Last updated 05/03/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • TX License # 31003
  • TX Medicaid 307679608
  • TX Other 89440A BLUE CROSS BLUE SHIELD NUMBER
  • TX Other 307679609 MEDICAID CSHCN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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