| Four Seasons Psychological Services Inc | |
|
777 37th St Suite B107 Vero Beach FL 32960-4873 | |
| (772) 538-1038 | |
| Not Available |
| Full Name | Four Seasons Psychological Services Inc |
|---|---|
| Speciality | Psychologist |
| Location | 777 37th St, Vero Beach, Florida |
| Authorized Official Name and Position | Soren James Barrett (OWNER) |
| Authorized Official Contact | 7725384656 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Four Seasons Psychological Services Inc 3625 Eagle Dr Vero Beach FL 32963-1650 Ph: (772) 538-1038 | Four Seasons Psychological Services Inc 777 37th St Suite B107 Vero Beach FL 32960-4873 Ph: (772) 538-1038 |
| NPI Number | 1740620525 |
|---|---|
| Provider Enumeration Date | 06/26/2013 |
| Last Update Date | 10/18/2019 |
| Medicare PECOS PAC ID | 5698917904 |
|---|---|
| Medicare Enrollment ID | O20130816000265 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740620525 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY4688 (Florida) | Primary |
| Provider Name | Soren J Barrett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437182243 PECOS PAC ID: 0749451110 Enrollment ID: I20110914000699 |
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