| Applied Psychology Ctr Apc | |
|
904 Desoto St Ocean Springs MS 39564-3737 | |
| (228) 872-8429 | |
| (228) 872-0226 |
| Full Name | Applied Psychology Ctr Apc |
|---|---|
| Speciality | Psychologist |
| Location | 904 Desoto St, Ocean Springs, Mississippi |
| Authorized Official Name and Position | Stefan Massong (PRACTICE MANAGER) |
| Authorized Official Contact | 2288728429 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Psychology Ctr Apc 904 Desoto St Ocean Springs MS 39564-3737 Ph: (228) 872-8429 | Applied Psychology Ctr Apc 904 Desoto St Ocean Springs MS 39564-3737 Ph: (228) 872-8429 |
| NPI Number | 1457446700 |
|---|---|
| Provider Enumeration Date | 10/04/2006 |
| Last Update Date | 07/02/2013 |
| Medicare PECOS PAC ID | 8325039928 |
|---|---|
| Medicare Enrollment ID | O20040521000781 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457446700 | NPI | - | NPPES |
| 05905039 | Medicaid | MS |
| Provider Name | Cynthia P Sava |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992897433 PECOS PAC ID: 2860483211 Enrollment ID: I20040524000453 |
| Provider Name | Michele B Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083796924 PECOS PAC ID: 5799776480 Enrollment ID: I20070625000623 |
| Provider Name | Stefan Massong |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568556082 PECOS PAC ID: 6305837907 Enrollment ID: I20080612000731 |
| Provider Name | Jane L Swett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487713319 PECOS PAC ID: 6305901034 Enrollment ID: I20090212000653 |
| Provider Name | Shedra M Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649716762 PECOS PAC ID: 5294128617 Enrollment ID: I20220208001391 |
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