Mark Besen Phd Psychological Services Pllc | |
1104 Arendell St Morehead City NC 28557-4144 | |
(252) 207-0545 | |
Not Available |
Full Name | Mark Besen Phd Psychological Services Pllc |
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Speciality | Social Worker |
Location | 1104 Arendell St, Morehead City, North Carolina |
Authorized Official Name and Position | Jennifer Reynolds (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 2522691937 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mark Besen Phd Psychological Services Pllc Po Box 422 Morehead City NC 28557-0422 Ph: () - | Mark Besen Phd Psychological Services Pllc 1104 Arendell St Morehead City NC 28557-4144 Ph: (252) 207-0545 |
NPI Number | 1740754795 |
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Provider Enumeration Date | 01/13/2019 |
Last Update Date | 01/13/2019 |
Medicare PECOS PAC ID | 8224460316 |
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Medicare Enrollment ID | O20191111002163 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740754795 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Mark B Besen |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1154539641 PECOS PAC ID: 5294724605 Enrollment ID: I20150812008843 |
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