| Baillio Psychological Services, Pa | |
|
735 Arlington Ave N Suite 205 Saint Petersburg FL 33701-3652 | |
| (813) 294-0577 | |
| Not Available |
| Full Name | Baillio Psychological Services, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 735 Arlington Ave N, Saint Petersburg, Florida |
| Authorized Official Name and Position | Jill N Baillio (OWNER) |
| Authorized Official Contact | 8132940577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baillio Psychological Services, Pa 4081 Beach Dr Se Saint Petersburg FL 33705-4125 Ph: (813) 294-0577 | Baillio Psychological Services, Pa 735 Arlington Ave N Suite 205 Saint Petersburg FL 33701-3652 Ph: (813) 294-0577 |
| NPI Number | 1053798702 |
|---|---|
| Provider Enumeration Date | 05/01/2015 |
| Last Update Date | 09/14/2016 |
| Medicare PECOS PAC ID | 9537473145 |
|---|---|
| Medicare Enrollment ID | O20150727001575 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053798702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | PY8287 (Florida) | Primary |
| Provider Name | Jill N Baillio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255649208 PECOS PAC ID: 6709839095 Enrollment ID: I20050228000057 |
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