| Rebecca Martinez Psychology Inc | |
|
205 N College Ave Suite #210b Bloomington IN 47404-3955 | |
| (812) 807-1110 | |
| Not Available |
| Full Name | Rebecca Martinez Psychology Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 205 N College Ave, Bloomington, Indiana |
| Authorized Official Name and Position | Rebecca Martinez Reid (PSYCHOLOGIST) |
| Authorized Official Contact | 8127278877 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rebecca Martinez Psychology Inc 205 N College Ave Ste 210b Bloomington IN 47404-3955 Ph: (812) 727-8877 | Rebecca Martinez Psychology Inc 205 N College Ave Suite #210b Bloomington IN 47404-3955 Ph: (812) 807-1110 |
| NPI Number | 1912581752 |
|---|---|
| Provider Enumeration Date | 05/07/2021 |
| Last Update Date | 07/08/2021 |
| Certification Date | 05/07/2021 |
| Medicare PECOS PAC ID | 4981007671 |
|---|---|
| Medicare Enrollment ID | O20210719001385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912581752 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Rebecca Martinez Reid |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1528536083 PECOS PAC ID: 0446687313 Enrollment ID: I20200305002487 |
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