| Central Florida Neuropsychology, Llc | |
|
4646 Nadena Dr Sebring FL 33872-1779 | |
| (866) 448-1965 | |
| (888) 242-1396 |
| Full Name | Central Florida Neuropsychology, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 4646 Nadena Dr, Sebring, Florida |
| Authorized Official Name and Position | Susan Crum (PSYCHOLOGIST/DIRECTOR) |
| Authorized Official Contact | 8664881965 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Neuropsychology, Llc Po Box 7365 Sebring FL 33872-0107 Ph: (866) 448-1965 | Central Florida Neuropsychology, Llc 4646 Nadena Dr Sebring FL 33872-1779 Ph: (866) 448-1965 |
| NPI Number | 1235375387 |
|---|---|
| Provider Enumeration Date | 12/19/2008 |
| Last Update Date | 08/12/2014 |
| Medicare PECOS PAC ID | 2961552047 |
|---|---|
| Medicare Enrollment ID | O20090611000185 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235375387 | NPI | - | NPPES |
| Provider Name | Mark A Ashby |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063417616 PECOS PAC ID: 0143394163 Enrollment ID: I20080808000185 |
| Provider Name | Susan L Crum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679719728 PECOS PAC ID: 1355491432 Enrollment ID: I20090611000153 |
| Provider Name | Bruce Daniel Bassi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093125759 PECOS PAC ID: 0042515140 Enrollment ID: I20240624000660 |
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