| West Psychological Services, Pllc | |
|
2600 Poplar Ave Suite 200 Memphis TN 38112-3851 | |
| (901) 359-9499 | |
| (901) 328-5646 |
| Full Name | West Psychological Services, Pllc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2600 Poplar Ave, Memphis, Tennessee |
| Authorized Official Name and Position | Rebecca West (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 9015051900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Psychological Services, Pllc 2600 Poplar Ave Suite 200 Memphis TN 38112-3851 Ph: (901) 359-9499 | West Psychological Services, Pllc 2600 Poplar Ave Suite 200 Memphis TN 38112-3851 Ph: (901) 359-9499 |
| NPI Number | 1902221831 |
|---|---|
| Provider Enumeration Date | 03/01/2014 |
| Last Update Date | 03/01/2014 |
| Medicare PECOS PAC ID | 3971816836 |
|---|---|
| Medicare Enrollment ID | O20150721001786 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902221831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 3036 (Tennessee) | Primary |
| Provider Name | Rebecca West |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760728604 PECOS PAC ID: 4880907740 Enrollment ID: I20150721002091 |
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