Organization
BEAUMONT PSYCHOLOGICAL SERVICES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARMEN RITA KAIMANN MD (PRESIDENT)
(409) 899-3244
Entity
Organization
Contact information
Practice address
3560 DELAWARE ST, SUITE107, BEAUMONT, TX 77706-3059
(409) 899-3244
(409) 898-3153
Mailing address
3560 DELAWARE ST, SUITE107, BEAUMONT, TX 77706-3059
(409) 899-3244
(409) 898-3153
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022GD
BLUE CROSS BLUE SHIELD
—
Enumeration date
07/16/2006
Last updated
11/01/2007
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