| Dynamic Psychometrics Llc | |
|
13361 N 56th St Ofc B Temple Terrace FL 33617-1161 | |
| (813) 503-3652 | |
| (833) 720-9866 |
| Full Name | Dynamic Psychometrics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 13361 N 56th St Ofc B, Temple Terrace, Florida |
| Authorized Official Name and Position | Maria E Jimenez (OWNER/PROVIDER) |
| Authorized Official Contact | 8135033652 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dynamic Psychometrics Llc 13361 N 56th St Tampa FL 33617-1161 Ph: (727) 279-5878 | Dynamic Psychometrics Llc 13361 N 56th St Ofc B Temple Terrace FL 33617-1161 Ph: (813) 503-3652 |
| NPI Number | 1568924694 |
|---|---|
| Provider Enumeration Date | 04/06/2019 |
| Last Update Date | 01/08/2024 |
| Certification Date | 01/08/2024 |
| Medicare PECOS PAC ID | 7810324050 |
|---|---|
| Medicare Enrollment ID | O20200227001000 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568924694 | NPI | - | NPPES |
| Provider Name | Maria Emil Jimenez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295974426 PECOS PAC ID: 0840565479 Enrollment ID: I20200227000810 |
| Provider Name | Lourdes Ruiz |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750726097 PECOS PAC ID: 6103274402 Enrollment ID: I20231128000196 |
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