About

Dr. Marietta Baccus Richard (formerly known as Marietta Baccus) is a Clinical Psychologist in Southlake, Texas. She graduated in 1990. She has over 16 years of experience. She is affiliated with Premier Psychology Consultants PLLC. Dr. Marietta B. Richard is a group member of . Contact Dr. Marietta Baccus Richard to request her Medicare information, payment methods she accepts, or to book an appointment.

Basic Data

PECOS ID: 3971680240

Entity Type: Individual; Not Sole Proprietor

Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.

Organization Name: Premier Psychology Consultants PLLC

Gender

Female

Years in Practice

16 years

Healthcare Provider Taxonomy

  • Code: 103TC0700X
  • Grouping: Behavioral Health & Social Service Providers
  • Classification: Psychologist
  • Specialization: Clinical

Credentials

  • Doctor of Philosophy (PH.D)

HCPCS Codes

Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.

Code Code Description Service Count Beneficiary Count
90837 Psychotherapy, 60 minutes 313 11

Group Practices

Group practices this therapist belongs to includes:

Address 1725 E Southlake Blvd
Suite 102
Southlake, TX 76092-6457
Group PAC ID
Group Members

Licenses

Name License Number State
Psychologist 24396 Verify TX

Education

Year Graduated
1990

Practice Locations

1725 E Southlake Blvd Ste 102

Southlake, TX 76092-6457

Phone Number: (682) 477-4400

1725 E Southlake Blvd

Suite 102

Southlake, TX 76092-6457

Phone Number: (682) 477-4400

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