| Psychological Services Group | |
|
3812 W Kilgore Ave Muncie IN 47304-4811 | |
| (765) 748-8112 | |
| Not Available |
| Full Name | Psychological Services Group |
|---|---|
| Speciality | Psychologist |
| Location | 3812 W Kilgore Ave, Muncie, Indiana |
| Authorized Official Name and Position | Robyn Eubank (OWNER) |
| Authorized Official Contact | 7657488112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Psychological Services Group 3812 W Kilgore Ave Muncie IN 47304-4811 Ph: (765) 748-8112 | Psychological Services Group 3812 W Kilgore Ave Muncie IN 47304-4811 Ph: (765) 748-8112 |
| NPI Number | 1235839689 |
|---|---|
| Provider Enumeration Date | 03/06/2023 |
| Last Update Date | 03/06/2023 |
| Certification Date | 03/06/2023 |
| Medicare PECOS PAC ID | 2466817440 |
|---|---|
| Medicare Enrollment ID | O20230426001072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235839689 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Secondary |
| 103TC0700X | Psychologist - Clinical | () | Secondary |
| 103TH0100X | Psychologist - Health Service | () | Primary |
| Provider Name | Robyn N Eubank |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1265733026 PECOS PAC ID: 5193993533 Enrollment ID: I20110729000312 |
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