Bayside Psychology Services, LLC
Bayside Psychology Services, LLC is a Clinical Psychologist in Niceville, Florida. Licensed in Florida. Registered with an NPI since 2011.
- Licensed in
- FL
- In the registry since
- 2011
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4400 E Highway 20 Ste 305Niceville, FL 32578-8779
Phone: (850) 279-6750
Fax: (850) 279-6752
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 5264 (FL) |
|---|
Record details
| NPI number | 1922388909 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Gretchen Tyler — Licensed Psychologist / President · (850) 279-6750 |
| NPI enumerated | August 23, 2011 |
| Last updated in NPPES | August 23, 2011 |
| Mailing address | 4400 E Highway 20, Ste 305, Niceville, FL 32578-8779 |
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Dr. Theodore Peter Masino II, PSYD
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