| Beissinger Psychological Resources Pa | |
|
1221 East Desoto St Pensacola FL 32501 | |
| (850) 437-9997 | |
| (850) 439-2122 |
| Full Name | Beissinger Psychological Resources Pa |
|---|---|
| Speciality | Psychologist |
| Location | 1221 East Desoto St, Pensacola, Florida |
| Authorized Official Name and Position | Tina P Beissinger (OWNER) |
| Authorized Official Contact | 8504379997 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Beissinger Psychological Resources Pa 1221 East Desoto Street Pensacola FL 32501 Ph: (850) 437-9997 | Beissinger Psychological Resources Pa 1221 East Desoto St Pensacola FL 32501 Ph: (850) 437-9997 |
| NPI Number | 1497927172 |
|---|---|
| Provider Enumeration Date | 04/02/2008 |
| Last Update Date | 07/11/2008 |
| Medicare PECOS PAC ID | 9335388719 |
|---|---|
| Medicare Enrollment ID | O20130614000381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497927172 | NPI | - | NPPES |
| 75495 | Other | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY0003056 (Florida) | Primary |
| Provider Name | Tina P Beissinger |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750319711 PECOS PAC ID: 9638127988 Enrollment ID: I20050104000577 |
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