| Bask Psychological Services | |
|
1516 S Langley Dr Florence SC 29501-6149 | |
| (843) 621-0263 | |
| (843) 536-8522 |
| Full Name | Bask Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 1516 S Langley Dr, Florence, South Carolina |
| Authorized Official Name and Position | Alexis Sanders (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8436210263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bask Psychological Services 1516 S Langley Dr Florence SC 29501-6149 Ph: (843) 621-0263 | Bask Psychological Services 1516 S Langley Dr Florence SC 29501-6149 Ph: (843) 621-0263 |
| NPI Number | 1134683006 |
|---|---|
| Provider Enumeration Date | 01/24/2019 |
| Last Update Date | 06/09/2020 |
| Certification Date | 06/09/2020 |
| Medicare PECOS PAC ID | 9739428681 |
|---|---|
| Medicare Enrollment ID | O20190311002850 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134683006 | NPI | - | NPPES |
| PS5060 | Medicaid | SC |
| Provider Name | Alexis Yvonne Sanders |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1851547335 PECOS PAC ID: 5698099364 Enrollment ID: I20150129000777 |
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