| Associated Psychological Services,inc | |
|
479 Cotter St. Ringgold GA 30736 | |
| (706) 937-5180 | |
| (706) 937-5183 |
| Full Name | Associated Psychological Services,inc |
|---|---|
| Speciality | Psychologist |
| Location | 479 Cotter St., Ringgold, Georgia |
| Authorized Official Name and Position | Laura Joanna Hayes (PRESIDENT) |
| Authorized Official Contact | 7069375180 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Associated Psychological Services,inc P.o.box 700 Ringgold GA 30736 Ph: (706) 937-5180 | Associated Psychological Services,inc 479 Cotter St. Ringgold GA 30736 Ph: (706) 937-5180 |
| NPI Number | 1689773160 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2062666167 |
|---|---|
| Medicare Enrollment ID | O20130124000427 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689773160 | NPI | - | NPPES |
| 52264390 | Other | GA | BLUECROSS BLUESHIELD GA. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 001364 (Georgia) | Primary |
| Provider Name | Laura J Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477651917 PECOS PAC ID: 2365498235 Enrollment ID: I20050323001080 |
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