Madre Bay Consulting and Psychological Services, Pllc

NPI #1114448925 in Port Isabel, Texas

Provider Information

NPI Number: 1114448925
Entity Type: Organization
Organization Name: Madre Bay Consulting and Psychological Services, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 30, 2017
Last Updated: Jun 30, 2017

Practice Location

Address: 215 E QUEEN ISABELLA BLVD STE 102B
City: Port Isabel
State: Texas
ZIP Code: 78578-2434
Phone: (956) 299-6107

Authorized Official

Name: DR. MARSHA N SARGEANT, PHD
Title: OWNER
Phone: (956) 299-6107

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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