| Bay Area Psychological Services LLC | |
|
13104 Cimarron Cir N Largo FL 33774-4114 | |
| (727) 835-8131 | |
| Not Available |
| Full Name | Bay Area Psychological Services LLC |
|---|---|
| Speciality | Clinic/Center |
| Location | 13104 Cimarron Cir N, Largo, Florida |
| Authorized Official Name and Position | Carita R Shawchuck (PRESIDENT) |
| Authorized Official Contact | 7278358131 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Area Psychological Services LLC 13104 Cimarron Cir N Largo FL 33774-4114 Ph: (727) 835-8131 | Bay Area Psychological Services LLC 13104 Cimarron Cir N Largo FL 33774-4114 Ph: (727) 835-8131 |
| NPI Number | 1457924094 |
|---|---|
| Provider Enumeration Date | 07/21/2021 |
| Last Update Date | 07/21/2021 |
| Certification Date | 07/21/2021 |
| Medicare PECOS PAC ID | 3274939558 |
|---|---|
| Medicare Enrollment ID | O20210913000900 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457924094 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | () | Primary |
| Provider Name | Carita R Shawchuck |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093757791 PECOS PAC ID: 5193778694 Enrollment ID: I20210913001094 |
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