| Premier Psychology, Pllc | |
|
830 Anchor Rode Dr Naples FL 34103-2739 | |
| (239) 234-6333 | |
| (239) 234-6413 |
| Full Name | Premier Psychology, Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 830 Anchor Rode Dr, Naples, Florida |
| Authorized Official Name and Position | Marissa Marie Petralia (PRESIDENT) |
| Authorized Official Contact | 2392346333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Psychology, Pllc 830 Anchor Rode Dr Naples FL 34103-2739 Ph: (239) 234-6333 | Premier Psychology, Pllc 830 Anchor Rode Dr Naples FL 34103-2739 Ph: (239) 234-6333 |
| NPI Number | 1023417433 |
|---|---|
| Provider Enumeration Date | 08/21/2014 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/10/2021 |
| Medicare PECOS PAC ID | 1850614454 |
|---|---|
| Medicare Enrollment ID | O20150107001445 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023417433 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY8173 (Florida) | Primary |
| Provider Name | Marissa M Petralia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841504966 PECOS PAC ID: 9931398138 Enrollment ID: I20150107002310 |
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