| Integrated Psychological Services Llc | |
|
413 Broadway St Unit A Paducah KY 42001-0738 | |
| (618) 727-1913 | |
| Not Available |
| Full Name | Integrated Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 413 Broadway St Unit A, Paducah, Kentucky |
| Authorized Official Name and Position | Ashton Briauna Shelby (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 6187271913 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Psychological Services Llc 413 Broadway St Unit A Paducah KY 42001-0738 Ph: () - | Integrated Psychological Services Llc 413 Broadway St Unit A Paducah KY 42001-0738 Ph: (618) 727-1913 |
| NPI Number | 1063163442 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Certification Date | 01/17/2022 |
| Medicare PECOS PAC ID | 0749651180 |
|---|---|
| Medicare Enrollment ID | O20230124000521 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063163442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Ashton Briauna Shelby |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881219319 PECOS PAC ID: 1658742093 Enrollment ID: I20230124000659 |
| Provider Name | Lauren Barks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033820774 PECOS PAC ID: 4385016500 Enrollment ID: I20230215002357 |
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