Turning Point Center | |
404 Barataria Ln Fort Walton Beach FL 32547-3698 | |
(850) 243-8086 | |
(850) 243-2702 |
Full Name | Turning Point Center |
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Speciality | Psychologist |
Location | 404 Barataria Ln, Fort Walton Beach, Florida |
Authorized Official Name and Position | Dlane Sally Miller (PRESIDENT) |
Authorized Official Contact | 8502438086 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Turning Point Center 404 Barataria Ln Fort Walton Beach FL 32547-3698 Ph: (850) 243-8086 | Turning Point Center 404 Barataria Ln Fort Walton Beach FL 32547-3698 Ph: (850) 243-8086 |
NPI Number | 1962532572 |
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Provider Enumeration Date | 03/06/2007 |
Last Update Date | 02/12/2022 |
Certification Date | 02/12/2022 |
Medicare PECOS PAC ID | 0143406074 |
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Medicare Enrollment ID | O20110511000017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1962532572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | PY 3359 (Florida) | Primary |
103TC0700X | Psychologist - Clinical | PY 3183 (Florida) | Secondary |
Provider Name | Edward William Chandler |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1336119726 PECOS PAC ID: 6507042439 Enrollment ID: I20110511000026 |
Provider Name | D'lane Miller |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1124098504 PECOS PAC ID: 7315123247 Enrollment ID: I20110511000036 |
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