Ppsoc Pllc | |
3204 N Academy Blvd Ste 200 Colorado Springs CO 80917-5163 | |
(888) 211-8537 | |
(614) 656-6614 |
Full Name | Ppsoc Pllc |
---|---|
Speciality | Psychologist |
Location | 3204 N Academy Blvd Ste 200, Colorado Springs, Colorado |
Authorized Official Name and Position | Colleen Evans (OWNER/MEMBER MANAGER) |
Authorized Official Contact | 7195107056 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Ppsoc Pllc Po Box 351 Convoy OH 45832-0351 Ph: (719) 510-7056 | Ppsoc Pllc 3204 N Academy Blvd Ste 200 Colorado Springs CO 80917-5163 Ph: (888) 211-8537 |
NPI Number | 1932841475 |
---|---|
Provider Enumeration Date | 04/13/2022 |
Last Update Date | 08/02/2022 |
Certification Date | 08/02/2022 |
Medicare PECOS PAC ID | 8628449337 |
---|---|
Medicare Enrollment ID | O20230117001000 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932841475 | NPI | - | NPPES |
Provider Name | Lindsey L Bupp |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1013527134 PECOS PAC ID: 1951716547 Enrollment ID: I20210211002588 |
Provider Name | Amy Psy D Long |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1043689219 PECOS PAC ID: 2163823113 Enrollment ID: I20210628002278 |
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