| Providence Psychological Services P.c. | |
|
615 Barlow St Americus GA 31709-4206 | |
| (229) 928-9887 | |
| (229) 928-9461 |
| Full Name | Providence Psychological Services P.c. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 615 Barlow St, Americus, Georgia |
| Authorized Official Name and Position | Leeann K Frantz (OFFICE MANAGER) |
| Authorized Official Contact | 2299289887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Psychological Services P.c. 615 Barlow St Americus GA 31709-4206 Ph: (229) 928-9887 | Providence Psychological Services P.c. 615 Barlow St Americus GA 31709-4206 Ph: (229) 928-9887 |
| NPI Number | 1770759219 |
|---|---|
| Provider Enumeration Date | 05/05/2008 |
| Last Update Date | 05/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770759219 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PSY00183 (Georgia) | Primary |
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