| Progressive Psychological Services | |
|
137 Mill Spring Pl Ormond Beach FL 32174-4820 | |
| (773) 733-6629 | |
| (386) 463-2170 |
| Full Name | Progressive Psychological Services |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 137 Mill Spring Pl, Ormond Beach, Florida |
| Authorized Official Name and Position | Laurie Ann Deckard-tankersley (MANAGING PARTNER/OWNER) |
| Authorized Official Contact | 7737336629 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Progressive Psychological Services 137 Mill Spring Pl Ormond Beach FL 32174-4820 Ph: (177) 373-3662 | Progressive Psychological Services 137 Mill Spring Pl Ormond Beach FL 32174-4820 Ph: (773) 733-6629 |
| NPI Number | 1568949865 |
|---|---|
| Provider Enumeration Date | 07/19/2018 |
| Last Update Date | 07/19/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568949865 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY10079 (Florida) | Primary |
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