| Little Tree Psychological Services | |
|
800 Whitworth Cir Ste B Seneca SC 29672-9432 | |
| (706) 286-0297 | |
| Not Available |
| Full Name | Little Tree Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 800 Whitworth Cir Ste B, Seneca, South Carolina |
| Authorized Official Name and Position | Nan Cooley (OWNER) |
| Authorized Official Contact | 7062860297 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Little Tree Psychological Services 800 Whitworth Cir Ste B Seneca SC 29672-9432 Ph: (706) 286-0297 | Little Tree Psychological Services 800 Whitworth Cir Ste B Seneca SC 29672-9432 Ph: (706) 286-0297 |
| NPI Number | 1750930889 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 11/19/2019 |
| Medicare PECOS PAC ID | 1557793155 |
|---|---|
| Medicare Enrollment ID | O20191120002142 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750930889 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Nan W Cooley |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295999050 PECOS PAC ID: 6901094614 Enrollment ID: I20191120002252 |
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