| Barbara J Mcdougall, Psyd, Pa | |
|
623 Oak Street Green Cove Springs FL 32043 | |
| (904) 531-9752 | |
| (904) 531-5149 |
| Full Name | Barbara J Mcdougall, Psyd, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 623 Oak Street, Green Cove Springs, Florida |
| Authorized Official Name and Position | Barbara Jeanne Mcdougall (PSYCHOLOGIST) |
| Authorized Official Contact | 9045319752 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Barbara J Mcdougall, Psyd, Pa 623 Oak St Green Cove Springs FL 32043-4313 Ph: (904) 531-9752 | Barbara J Mcdougall, Psyd, Pa 623 Oak Street Green Cove Springs FL 32043 Ph: (904) 531-9752 |
| NPI Number | 1831443290 |
|---|---|
| Provider Enumeration Date | 11/06/2012 |
| Last Update Date | 11/06/2012 |
| Medicare PECOS PAC ID | 0749432268 |
|---|---|
| Medicare Enrollment ID | O20121210000099 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831443290 | NPI | - | NPPES |
| 828926000 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY7136 (Florida) | Primary |
| Provider Name | Barbara J Mcdougall |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679568737 PECOS PAC ID: 7719916170 Enrollment ID: I20050806000095 |
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