| The Mind Studio | |
|
1403 Cat Mar Rd Niceville FL 32578-9742 | |
| (850) 816-0408 | |
| Not Available |
| Full Name | The Mind Studio |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 1403 Cat Mar Rd, Niceville, Florida |
| Authorized Official Name and Position | Ashley Luella Downey (PRACTICE MANAGER) |
| Authorized Official Contact | 8506966640 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mind Studio 1403 Cat Mar Rd Niceville FL 32578-9742 Ph: (850) 816-0408 | The Mind Studio 1403 Cat Mar Rd Niceville FL 32578-9742 Ph: (850) 816-0408 |
| NPI Number | 1760119978 |
|---|---|
| Provider Enumeration Date | 08/07/2022 |
| Last Update Date | 02/22/2023 |
| Certification Date | 02/22/2023 |
| Medicare PECOS PAC ID | 6901282979 |
|---|---|
| Medicare Enrollment ID | O20220928001153 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760119978 | NPI | - | NPPES |
| 1811436371 | Other | NPI | |
| 1750451019 | Other | NPI | |
| 14779277176 | Other | NPI |
| Provider Name | Jordin E Early |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750451019 PECOS PAC ID: 3971764044 Enrollment ID: I20120417000432 |
| Provider Name | Cayleigh Suzanne Benny Harper |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1477927176 PECOS PAC ID: 6103126602 Enrollment ID: I20151207001501 |
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