| Crosswalk Psychological Services, Llc | |
|
310 24th St Opelika AL 36801-6248 | |
| (334) 744-3694 | |
| Not Available |
| Full Name | Crosswalk Psychological Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 310 24th St, Opelika, Alabama |
| Authorized Official Name and Position | Thomas Maple (OWNER) |
| Authorized Official Contact | 3347443694 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crosswalk Psychological Services, Llc 2312 Core Dr Auburn AL 36830-9416 Ph: (334) 744-3694 | Crosswalk Psychological Services, Llc 310 24th St Opelika AL 36801-6248 Ph: (334) 744-3694 |
| NPI Number | 1780036129 |
|---|---|
| Provider Enumeration Date | 07/11/2016 |
| Last Update Date | 07/11/2016 |
| Medicare PECOS PAC ID | 4789013640 |
|---|---|
| Medicare Enrollment ID | O20200330000338 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780036129 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1079 (Alabama) | Primary |
| Provider Name | Thomas S Maple |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912152505 PECOS PAC ID: 5597194456 Enrollment ID: I20200330000734 |
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