| Bay Area Psychological Care, Inc. | |
|
3780 Tampa Rd Suite 115 Oldsmar FL 34677-3041 | |
| (727) 771-6339 | |
| (727) 771-6338 |
| Full Name | Bay Area Psychological Care, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 3780 Tampa Rd, Oldsmar, Florida |
| Authorized Official Name and Position | Lisa Mari Petrica (OWNER/LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7277716339 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychological Care, Inc. Po Box 242 Oldsmar FL 34677-0242 Ph: (727) 771-6339 | Bay Area Psychological Care, Inc. 3780 Tampa Rd Suite 115 Oldsmar FL 34677-3041 Ph: (727) 771-6339 |
| NPI Number | 1669585444 |
|---|---|
| Provider Enumeration Date | 08/16/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669585444 | NPI | - | NPPES |
| 54612 | Other | FL | BLUE CROSS/BLUE SHIELD |
| 179953 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5976 (Florida) | Primary |
| 103TC0700X | Psychologist - Clinical | PY5976 (Florida) | Primary |
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