| Heal & Grow Psychological Services | |
|
320 N Cattlemen Rd Apt 103 Sarasota FL 34232-6434 | |
| (941) 564-9478 | |
| Not Available |
| Full Name | Heal & Grow Psychological Services |
|---|---|
| Speciality | Psychologist |
| Location | 320 N Cattlemen Rd Apt 103, Sarasota, Florida |
| Authorized Official Name and Position | Magdalena Fudyma (PRESIDENT) |
| Authorized Official Contact | 9415649478 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Heal & Grow Psychological Services 320 N Cattlemen Rd Apt 103 Sarasota FL 34232-6434 Ph: (941) 564-9478 | Heal & Grow Psychological Services 320 N Cattlemen Rd Apt 103 Sarasota FL 34232-6434 Ph: (941) 564-9478 |
| NPI Number | 1366106908 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 01/26/2022 |
| Certification Date | 01/26/2022 |
| Medicare PECOS PAC ID | 7012381684 |
|---|---|
| Medicare Enrollment ID | O20230323001370 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366106908 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Magdalena Fudyma |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073988671 PECOS PAC ID: 3971917279 Enrollment ID: I20210812000581 |
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