| Shelby Psychological Services, Inc. | |
|
1940 Highway 33 Suite A Pelham AL 35124-4886 | |
| (205) 664-4010 | |
| (205) 664-9928 |
| Full Name | Shelby Psychological Services, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 1940 Highway 33, Pelham, Alabama |
| Authorized Official Name and Position | Stephen Lee Vance (VICE PRESIDENT) |
| Authorized Official Contact | 2056644010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby Psychological Services, Inc. 1940 Highway 33 Suite A Pelham AL 35124-4886 Ph: (205) 664-4010 | Shelby Psychological Services, Inc. 1940 Highway 33 Suite A Pelham AL 35124-4886 Ph: (205) 664-4010 |
| NPI Number | 1306954953 |
|---|---|
| Provider Enumeration Date | 08/25/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 7810950078 |
|---|---|
| Medicare Enrollment ID | O20041109000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306954953 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Gaye Bua Vance |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760487524 PECOS PAC ID: 6002879269 Enrollment ID: I20041109000126 |
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