Triad Psychological Services, P.a. | |
1609 Banning Beach Rd Tavares FL 32778-2024 | |
(352) 343-2267 | |
(352) 365-2323 |
Full Name | Triad Psychological Services, P.a. |
---|---|
Speciality | Counselor - Mental Health |
Location | 1609 Banning Beach Rd, Tavares, Florida |
Authorized Official Name and Position | Thomas L Tobias (PRESIDENT) |
Authorized Official Contact | 3523432267 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Triad Psychological Services, P.a. 1609 Banning Beach Rd Tavares FL 32778-2024 Ph: (352) 343-2267 | Triad Psychological Services, P.a. 1609 Banning Beach Rd Tavares FL 32778-2024 Ph: (352) 343-2267 |
NPI Number | 1518011352 |
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Provider Enumeration Date | 01/22/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518011352 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | MH1516 (Florida) | Primary |
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