| Professional Psychology Of Pinellas Pllc | |
|
12360 66th St Ste 930 Largo FL 33773-3434 | |
| (172) 741-7281 | |
| Not Available |
| Full Name | Professional Psychology Of Pinellas Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 12360 66th St Ste 930, Largo, Florida |
| Authorized Official Name and Position | Tia Kern-butler (OWNER) |
| Authorized Official Contact | 7274172812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Professional Psychology Of Pinellas Pllc 12360 66th St Ste 930 Largo FL 33773-3434 Ph: (172) 741-7281 | Professional Psychology Of Pinellas Pllc 12360 66th St Ste 930 Largo FL 33773-3434 Ph: (172) 741-7281 |
| NPI Number | 1134691645 |
|---|---|
| Provider Enumeration Date | 12/20/2018 |
| Last Update Date | 12/20/2018 |
| Medicare PECOS PAC ID | 5799016747 |
|---|---|
| Medicare Enrollment ID | O20191007001450 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134691645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Tia Kern-butler |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184637779 PECOS PAC ID: 7315072824 Enrollment ID: I20100322000760 |
Reachout4 Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13785 Walsingham Rd, #440, Largo, FL 33774 Phone: 727-641-8878 | |
Creative Behavior Solutions, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 12505 Starkey Rd Ste K, Largo, FL 33773 Phone: 727-280-6643 | |
Living Word Of God Ministries, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 9900 Ulmerton Rd, 218, Largo, FL 33771 Phone: 727-515-1657 | |
Norton Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 Belcher Rd S Ste J, Largo, FL 33771 Phone: 727-531-7988 Fax: 727-531-0950 | |
Insight Behavioral Health & Addiction Solutions Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Clearwater Largo Rd N, Largo, FL 33770 Phone: 888-330-2532 | |
Diagnostic Clinic Medical Group, Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1551 W Bay Dr, Rehabilitation Department, Largo, FL 33770 Phone: 727-531-8767 | |
Personal Enrichment Through Mental Health Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1614 Palm Way, Largo, FL 33771 Phone: 727-545-6477 Fax: 727-552-2463 |