| Center For Psychological And Forensic Services | |
|
6801 Lake Worth Rd Suite 122 Greenacres FL 33467-2955 | |
| (561) 318-5340 | |
| Not Available |
| Full Name | Center For Psychological And Forensic Services |
|---|---|
| Speciality | Psychologist |
| Location | 6801 Lake Worth Rd, Greenacres, Florida |
| Authorized Official Name and Position | Kathy Rosalie Nicholls (PRESIDENT/CLINICAL DIRECTOR) |
| Authorized Official Contact | 5613704469 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Psychological And Forensic Services 6801 Lake Worth Rd Suite 122 Greenacres FL 33467-2955 Ph: (561) 318-5340 | Center For Psychological And Forensic Services 6801 Lake Worth Rd Suite 122 Greenacres FL 33467-2955 Ph: (561) 318-5340 |
| NPI Number | 1659763191 |
|---|---|
| Provider Enumeration Date | 02/20/2015 |
| Last Update Date | 02/20/2015 |
| Medicare PECOS PAC ID | 8527368380 |
|---|---|
| Medicare Enrollment ID | O20151130001272 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659763191 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY8492 (Florida) | Primary |
| Provider Name | Kathy R Nicholls |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952651606 PECOS PAC ID: 7618129438 Enrollment ID: I20121130000243 |
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