| Professional Psychology Services | |
|
6313 Piccadilly Square Dr Suite 2 Mobile AL 36609-5103 | |
| (251) 343-9200 | |
| (251) 343-9255 |
| Full Name | Professional Psychology Services |
|---|---|
| Speciality | Psychologist |
| Location | 6313 Piccadilly Square Dr, Mobile, Alabama |
| Authorized Official Name and Position | Pamela M Starkey (CO-OWNER) |
| Authorized Official Contact | 2513439200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychology Services Po Box 850607 Mobile AL 36685-0607 Ph: (251) 343-9200 | Professional Psychology Services 6313 Piccadilly Square Dr Suite 2 Mobile AL 36609-5103 Ph: (251) 343-9200 |
| NPI Number | 1831396860 |
|---|---|
| Provider Enumeration Date | 07/02/2007 |
| Last Update Date | 12/11/2012 |
| Medicare PECOS PAC ID | 5193970366 |
|---|---|
| Medicare Enrollment ID | O20130220000201 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831396860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Kenneth R Starkey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1730386772 PECOS PAC ID: 0749367381 Enrollment ID: I20080408000177 |
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