Beaumont Psychological Services Pc in Beaumont - Clinical

Beaumont Psychological Services Pc - NPI 1003833195

Beaumont Psychological Services Pc is a Clinical in Beaumont, Texas. Beaumont Psychological Services Pc practices all healthcare services and medical treatments related to Clinical. The NPI Number for Beaumont Psychological Services Pc is 1003833195. The last update date is 2007-11-01.

Beaumont Psychological Services Pc's current location address is 3560 Delaware St, Beaumont, Texas. You can contact this provider via phone number 4098993244 and fax number 4098983153. The mailing address for Beaumont Psychological Services Pc is 3560 Delaware St, Beaumont, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Beaumont Psychological Services Pc
Address 3560 Delaware St, Beaumont, Texas
Phone Number 4098993244
Fax Number 4098983153
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Kaimann Rita Carmen
Credentials MD
Telephone Number 4098993244

NPI Number Detail

NPI Number 1003833195
Provider Enumeration Date 2006-07-16
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 3560 Delaware St
City Beaumont
State Texas (TX)
Post Code 777063059
Phone Number 4098993244
Fax Number 4098983153

Provider's Primary Taxonomy Detail

Speciality Clinical
Taxonomy 103Tc0700X
Definition:
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
0022GD BLUE CROSS BLUE SHIELD

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FAQs about Beaumont Psychological Services Pc

What is the unique 10-digit identifier code issued to Beaumont Psychological Services Pc by the Centers for Medicare & Medicaid Services?

The Beaumont Psychological Services Pc has been assigned the NPI (National Provider Identifier) 1003833195 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you kindly provide the complete physical address where Beaumont Psychological Services Pc's facilities are geographically located?

The facilities of Beaumont Psychological Services Pc are physically situated at the following location: 3560 Delaware St, Beaumont, TX, 777063059.

What is the Beaumont Psychological Services Pc's area of specialization and corresponding taxonomy classification?

The Beaumont Psychological Services Pc's specialty field is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1003833195 to Beaumont Psychological Services Pc?

The Centers for Medicare & Medicaid Services originally issued the 1003833195 to Beaumont Psychological Services Pc on 2006-07-16.

As of what date were the details related to Beaumont Psychological Services Pc most recently updated or revised?

The information pertaining to Beaumont Psychological Services Pc, including its address, specialty, and other relevant details, was last updated or revised on 2007-11-01.

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