| Moonriver Psychological Services Llc | |
|
6706 Dunes Ln Temple Terrace FL 33617-3207 | |
| (724) 840-5108 | |
| Not Available |
| Full Name | Moonriver Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 6706 Dunes Ln, Temple Terrace, Florida |
| Authorized Official Name and Position | Anna Patricia Schrack (MANAGER) |
| Authorized Official Contact | 7248405108 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moonriver Psychological Services Llc 6706 Dunes Ln Temple Terrace FL 33617-3207 Ph: (724) 840-5108 | Moonriver Psychological Services Llc 6706 Dunes Ln Temple Terrace FL 33617-3207 Ph: (724) 840-5108 |
| NPI Number | 1306624341 |
|---|---|
| Provider Enumeration Date | 09/20/2023 |
| Last Update Date | 09/20/2023 |
| Certification Date | 09/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306624341 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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