| Nisha Amin, Ph.d., P.l.l.c | |
|
4909 Highway 69 S Beaumont TX 77705-1244 | |
| (409) 724-0370 | |
| (409) 724-0375 |
| Full Name | Nisha Amin, Ph.d., P.l.l.c |
|---|---|
| Speciality | Psychologist |
| Location | 4909 Highway 69 S, Beaumont, Texas |
| Authorized Official Name and Position | Nisha Amin (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4097240370 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nisha Amin, Ph.d., P.l.l.c 4909 Highway 69 S Beaumont TX 77705-1244 Ph: (409) 724-0370 | Nisha Amin, Ph.d., P.l.l.c 4909 Highway 69 S Beaumont TX 77705-1244 Ph: (409) 724-0370 |
| NPI Number | 1952595886 |
|---|---|
| Provider Enumeration Date | 09/04/2007 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 4880755388 |
|---|---|
| Medicare Enrollment ID | O20081202000701 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952595886 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 30550 (Texas) | Primary |
| Provider Name | Nisha M Amin |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649351867 PECOS PAC ID: 7214821313 Enrollment ID: I20070305000732 |
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