| Aida L Anders Psy D Pa | |
|
9000 Sheridan St Ste 98 Pembroke Pines FL 33024-8802 | |
| (954) 632-2409 | |
| (954) 538-0075 |
| Full Name | Aida L Anders Psy D Pa |
|---|---|
| Speciality | Psychologist |
| Location | 9000 Sheridan St Ste 98, Pembroke Pines, Florida |
| Authorized Official Name and Position | Aida L Anders (PSYCHOLOGIST) |
| Authorized Official Contact | 9546322409 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aida L Anders Psy D Pa 9000 Sheridan St Ste 98 Pembroke Pines FL 33024-8802 Ph: (954) 632-2409 | Aida L Anders Psy D Pa 9000 Sheridan St Ste 98 Pembroke Pines FL 33024-8802 Ph: (954) 632-2409 |
| NPI Number | 1619048600 |
|---|---|
| Provider Enumeration Date | 11/13/2006 |
| Last Update Date | 05/23/2016 |
| Medicare PECOS PAC ID | 4688751761 |
|---|---|
| Medicare Enrollment ID | O20080414000672 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619048600 | NPI | - | NPPES |
| 73072 | Other | PIN FOR BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY6410 (Florida) | Primary |
| Provider Name | Aida L Anders |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861663973 PECOS PAC ID: 4183726532 Enrollment ID: I20070303000026 |
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