| Psychological Assessment Center, Llc | |
|
3320 Skyway Dr #801 Opelika AL 36801-7137 | |
| (334) 742-9102 | |
| (334) 742-9103 |
| Full Name | Psychological Assessment Center, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 3320 Skyway Dr, Opelika, Alabama |
| Authorized Official Name and Position | Polly Blake Dunn (PARTNER) |
| Authorized Official Contact | 3347429102 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Assessment Center, Llc 3320 Skyway Dr #801 Opelika AL 36801-7137 Ph: (334) 742-9102 | Psychological Assessment Center, Llc 3320 Skyway Dr #801 Opelika AL 36801-7137 Ph: (334) 742-9102 |
| NPI Number | 1942677513 |
|---|---|
| Provider Enumeration Date | 08/29/2015 |
| Last Update Date | 08/29/2015 |
| Medicare PECOS PAC ID | 1759823800 |
|---|---|
| Medicare Enrollment ID | O20240605000871 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942677513 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1041 (Alabama) | Primary |
| Provider Name | Bridget F Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801992912 PECOS PAC ID: 6800253659 Enrollment ID: I20230609000240 |
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