| Neuro-rehab Psychology Group Of Tampa, Llc | |
|
4400 W Spruce St 105 Tampa FL 33607-4149 | |
| (787) 249-4600 | |
| Not Available |
| Full Name | Neuro-rehab Psychology Group Of Tampa, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 4400 W Spruce St, Tampa, Florida |
| Authorized Official Name and Position | Michelle B Ayala-feliciano (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7872494600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuro-rehab Psychology Group Of Tampa, Llc 4400 W Spruce St #105 Tampa FL 33607-4149 Ph: (787) 249-4600 | Neuro-rehab Psychology Group Of Tampa, Llc 4400 W Spruce St 105 Tampa FL 33607-4149 Ph: (787) 249-4600 |
| NPI Number | 1518373521 |
|---|---|
| Provider Enumeration Date | 07/10/2014 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 8729207709 |
|---|---|
| Medicare Enrollment ID | O20140924001972 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518373521 | NPI | - | NPPES |
| Provider Name | Michelle B Ayala Feliciano |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790082501 PECOS PAC ID: 7416176409 Enrollment ID: I20140924002227 |
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