New Horizons Psychological Associates Pllc | |
105 Gott Road Princeton WV 24740-2103 | |
(304) 425-3327 | |
(304) 425-4577 |
Full Name | New Horizons Psychological Associates Pllc |
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Speciality | Psychologist |
Location | 105 Gott Road, Princeton, West Virginia |
Authorized Official Name and Position | Tammie Lynne Smith (MEMBER MANAGER PSYCHOLOGIST) |
Authorized Official Contact | 3044253327 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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New Horizons Psychological Associates Pllc 105 Gott Road Princeton WV 24740-2103 Ph: (304) 425-3327 | New Horizons Psychological Associates Pllc 105 Gott Road Princeton WV 24740-2103 Ph: (304) 425-3327 |
NPI Number | 1700095882 |
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Provider Enumeration Date | 05/22/2007 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 1850384900 |
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Medicare Enrollment ID | O20040406000159 |
Identifier | Type | State | Issuer |
---|---|---|---|
1700095882 | NPI | - | NPPES |
Provider Name | Tammie L Smith |
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Provider Type | Practitioner - Psychologist Billing Independently |
Provider Identifiers | NPI Number: 1427040526 PECOS PAC ID: 8628061678 Enrollment ID: I20040408000044 |
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