| Smiths Station And Phenix City Psychological | |
|
2061lee Road 430 Smiths Station AL 36877-2307 | |
| (334) 577-4978 | |
| (334) 408-4518 |
| Full Name | Smiths Station And Phenix City Psychological |
|---|---|
| Speciality | Psychologist |
| Location | 2061lee Road 430, Smiths Station, Alabama |
| Authorized Official Name and Position | Paul Rodney Guinane (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3345774978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiths Station And Phenix City Psychological 475 Nottingham Dr Auburn AL 36830-6464 Ph: (334) 577-4978 | Smiths Station And Phenix City Psychological 2061lee Road 430 Smiths Station AL 36877-2307 Ph: (334) 577-4978 |
| NPI Number | 1952549529 |
|---|---|
| Provider Enumeration Date | 02/04/2009 |
| Last Update Date | 08/29/2012 |
| Medicare PECOS PAC ID | 3476683525 |
|---|---|
| Medicare Enrollment ID | O20100616000221 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952549529 | NPI | - | NPPES |
| 1952549529 | Other | AL | TYPE II NPI |
| 1134210743 | Other | GA | TYPE I NPI |
| 118063 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 1445 (Alabama) | Primary |
| Provider Name | Eric T Bloch |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508391467 PECOS PAC ID: 9931472578 Enrollment ID: I20170905000070 |
| Provider Name | Katherine E O'neil |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649762790 PECOS PAC ID: 3870979107 Enrollment ID: I20221010002533 |
Positive Path Counseling & Consulting Agency, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 932 Sun Wood Dr, Smiths Station, AL 36877 Phone: 334-408-7196 |