Search › Texas › 1041C0700X
Corey Pavelka, LCSW
NPI 1225389901 · on the registry since 2012 · sole proprietor
Practice
- Address
- 2111 W Highway 377
Granbury, TX 76048 - Phone
- (817) 573-6002
- Fax
- (817) 573-6009
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-27
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas