| Superior Psych Assessment Services Llc | |
|
400 S Mccaslin Blvd Ste 121 Superior CO 80027-9701 | |
| (970) 688-6112 | |
| Not Available |
| Full Name | Superior Psych Assessment Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 400 S Mccaslin Blvd Ste 121, Superior, Colorado |
| Authorized Official Name and Position | Talli Hitt (OWNER) |
| Authorized Official Contact | 9706886112 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Superior Psych Assessment Services Llc 400 S Mccaslin Blvd Ste 121 Superior CO 80027-9701 Ph: (970) 688-6112 | Superior Psych Assessment Services Llc 400 S Mccaslin Blvd Ste 121 Superior CO 80027-9701 Ph: (970) 688-6112 |
| NPI Number | 1164292223 |
|---|---|
| Provider Enumeration Date | 01/08/2024 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 2163865825 |
|---|---|
| Medicare Enrollment ID | O20240209000410 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164292223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Talli Hitt |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952786014 PECOS PAC ID: 1052748860 Enrollment ID: I20200217001013 |
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