Provider Demographics
NPI:1750319711
Name:BEISSINGER, TINA P (PHD)
Entity Type:Individual
Prefix:
First Name:TINA
Middle Name:P
Last Name:BEISSINGER
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 EAST DESOTO STREET
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-3337
Mailing Address - Country:US
Mailing Address - Phone:850-437-9997
Mailing Address - Fax:850-439-2122
Practice Address - Street 1:1221 EAST DESOTO STREET
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-3337
Practice Address - Country:US
Practice Address - Phone:850-437-9997
Practice Address - Fax:850-439-2122
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2012-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY0003056103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
75495OtherBCBS
75495OtherBCBS