| Kaly Psychological Services Inc. | |
|
10910 Sheldon Road Tampa FL 33626 | |
| (813) 796-8209 | |
| (813) 891-1311 |
| Full Name | Kaly Psychological Services Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 10910 Sheldon Road, Tampa, Florida |
| Authorized Official Name and Position | Perry William Kaly (PRESIDENT) |
| Authorized Official Contact | 8134860398 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaly Psychological Services Inc. 10910 Sheldon Road Tampa FL 33626 Ph: (813) 796-8209 | Kaly Psychological Services Inc. 10910 Sheldon Road Tampa FL 33626 Ph: (813) 796-8209 |
| NPI Number | 1114023132 |
|---|---|
| Provider Enumeration Date | 09/16/2006 |
| Last Update Date | 08/15/2024 |
| Medicare PECOS PAC ID | 9830286566 |
|---|---|
| Medicare Enrollment ID | O20071029000116 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114023132 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6377 (Florida) | Primary |
| Provider Name | Perry W Kaly |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891747044 PECOS PAC ID: 1759486517 Enrollment ID: I20070424000111 |
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