| Amilie M. Dubois, Psy.d., Llc | |
|
1125 N Verona Trace Dr Vero Beach FL 32966-3108 | |
| (312) 929-7504 | |
| Not Available |
| Full Name | Amilie M. Dubois, Psy.d., Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1125 N Verona Trace Dr, Vero Beach, Florida |
| Authorized Official Name and Position | Amilie Marie Gapstur (OWNER) |
| Authorized Official Contact | 3129297504 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amilie M. Dubois, Psy.d., Llc 1125 N Verona Trace Dr Vero Beach FL 32966-3108 Ph: (312) 929-7504 | Amilie M. Dubois, Psy.d., Llc 1125 N Verona Trace Dr Vero Beach FL 32966-3108 Ph: (312) 929-7504 |
| NPI Number | 1104520980 |
|---|---|
| Provider Enumeration Date | 03/28/2023 |
| Last Update Date | 03/28/2023 |
| Certification Date | 03/28/2023 |
| Medicare PECOS PAC ID | 3375901671 |
|---|---|
| Medicare Enrollment ID | O20230619001305 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104520980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Amilie Dubois |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1205177458 PECOS PAC ID: 5193027043 Enrollment ID: I20160108000998 |
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