Provider Demographics
NPI:1497927172
Name:BEISSINGER PSYCHOLOGICAL RESOURCES PA
Entity Type:Organization
Organization Name:BEISSINGER PSYCHOLOGICAL RESOURCES PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TINA
Authorized Official - Middle Name:P
Authorized Official - Last Name:BEISSINGER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:850-437-9997
Mailing Address - Street 1:1221 EAST DESOTO STREET
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501
Mailing Address - Country:US
Mailing Address - Phone:850-437-9997
Mailing Address - Fax:850-439-2122
Practice Address - Street 1:1221 EAST DESOTO ST
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501
Practice Address - Country:US
Practice Address - Phone:850-437-9997
Practice Address - Fax:850-439-2122
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-02
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003056103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
75495OtherBCBS
75495Medicare PIN