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NPI Code Detail

MEDICARE: DR. JOANN MASSEY PSY.D.

MEDICARE: DR. JOANN MASSEY PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TR0400XRehabilitation PsychologistPY5216FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
159861OTHERFLBLUE CROSS AND BLUE SHIELD OF FLORIDA

General Provider Information

NPI Number : 1992968119
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOANN MASSEY PSY.D.
Provider Business Mailing Address
First Line : 1221 E DE SOTO ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3337
Country : US
Telephone Number : 850-439-2100
Fax Number : 850-439-2122
Provider Business Practice Location Address
First Line : 1221 E DE SOTO ST
Second Line :
City : PENSACOLA
State : FL
Zip : 32501-3337
Country : US
Telephone Number : 850-439-2100
Fax Number : 850-439-2122
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2008
Last Update Date : 12/04/2019

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Directions to “ DR. JOANN MASSEY PSY.D.” Practice Location

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