| Augusta Center For Psychological Services, Pc | |
|
3643 Walton Way Ext Augusta GA 30909-4507 | |
| (706) 729-9595 | |
| Not Available |
| Full Name | Augusta Center For Psychological Services, Pc |
|---|---|
| Speciality | Psychologist |
| Location | 3643 Walton Way Ext, Augusta, Georgia |
| Authorized Official Name and Position | Thomas Edward Orr (PRESIDENT) |
| Authorized Official Contact | 7067299595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Augusta Center For Psychological Services, Pc Po Box 2793 Augusta GA 30914-2793 Ph: (706) 729-9595 | Augusta Center For Psychological Services, Pc 3643 Walton Way Ext Augusta GA 30909-4507 Ph: (706) 729-9595 |
| NPI Number | 1346364635 |
|---|---|
| Provider Enumeration Date | 03/19/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0244497378 |
|---|---|
| Medicare Enrollment ID | O20120201000648 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346364635 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Aubrey L Moore |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093708737 PECOS PAC ID: 1052509973 Enrollment ID: I20101220000584 |
| Provider Name | Thomas Edward Orr |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407927791 PECOS PAC ID: 6800053943 Enrollment ID: I20120215000983 |
| Provider Name | Paul Andrew Walters |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477546190 PECOS PAC ID: 1254598394 Enrollment ID: I20120627000513 |
| Provider Name | Darlene Klein |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255438446 PECOS PAC ID: 7517365075 Enrollment ID: I20211013002894 |
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