| Bay Area Psychological Consultants | |
|
1417 Partin Dr N Ste 1 Niceville FL 32578-1426 | |
| (850) 729-0303 | |
| (850) 729-0305 |
| Full Name | Bay Area Psychological Consultants |
|---|---|
| Speciality | Psychologist |
| Location | 1417 Partin Dr N, Niceville, Florida |
| Authorized Official Name and Position | Michael L Tallman (PRESIDENT) |
| Authorized Official Contact | 8507290303 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychological Consultants 1417 Partin Dr N Ste 1 Niceville FL 32578-1426 Ph: (850) 729-0303 | Bay Area Psychological Consultants 1417 Partin Dr N Ste 1 Niceville FL 32578-1426 Ph: (850) 729-0303 |
| NPI Number | 1902801210 |
|---|---|
| Provider Enumeration Date | 06/15/2005 |
| Last Update Date | 04/20/2008 |
| Medicare PECOS PAC ID | 3779675756 |
|---|---|
| Medicare Enrollment ID | O20070822000815 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902801210 | NPI | - | NPPES |
| Provider Name | Bonnie G Benshoof |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154353506 PECOS PAC ID: 8325136609 Enrollment ID: I20090801000067 |
| Provider Name | Angela M Mcmanus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255483129 PECOS PAC ID: 7214061696 Enrollment ID: I20100820000497 |
| Provider Name | Michael L Tallman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760407878 PECOS PAC ID: 7416045703 Enrollment ID: I20120111000430 |
| Provider Name | Jordin E Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750451019 PECOS PAC ID: 3971764044 Enrollment ID: I20120417000432 |
| Provider Name | Jennifer Elizabeth Tallman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184047649 PECOS PAC ID: 3678890506 Enrollment ID: I20160120001714 |
| Provider Name | Kaitlyn Partin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134885270 PECOS PAC ID: 0941691877 Enrollment ID: I20220103000586 |
| Provider Name | Gertrudis Alejandra Marrero |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851990410 PECOS PAC ID: 4486012655 Enrollment ID: I20230620002697 |
| Provider Name | Kellie H Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780751412 PECOS PAC ID: 0941471106 Enrollment ID: I20230726003888 |
| Provider Name | Sara Lane Williamson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235518598 PECOS PAC ID: 4284917246 Enrollment ID: I20240213000847 |
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