Individual
DR. KEVIN MARK CORREIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
8155 GLADYS AVE, BEAUMONT, TX 77706
(409) 860-4007
(409) 860-1762
Mailing address
8155 GLADYS AVE, BEAUMONT, TX 77706-3243
(409) 860-4007
(409) 860-1762
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
31520
TX
103TF0200X
Forensic Psychologist
31520
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0051GZ
BLUE CROSS/BLUE SHIELD
TX
05
—
1507170-01
—
TX
01
—
305188
CHAMPUS
TX
01
—
7473360
AETNA
TX
Enumeration date
08/30/2005
Last updated
04/25/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us