| Neuropsychological And Memory Evaluations Of Jupiter | |
|
900 E Indiantown Rd Ste 310 Jupiter FL 33477-5153 | |
| (413) 588-8419 | |
| Not Available |
| Full Name | Neuropsychological And Memory Evaluations Of Jupiter |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 900 E Indiantown Rd Ste 310, Jupiter, Florida |
| Authorized Official Name and Position | Michael Fearing (OWNER/MANAGER) |
| Authorized Official Contact | 4135888419 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological And Memory Evaluations Of Jupiter 12601 S Gardens Dr Apt 105 Palm Beach Gardens FL 33418-5886 Ph: () - | Neuropsychological And Memory Evaluations Of Jupiter 900 E Indiantown Rd Ste 310 Jupiter FL 33477-5153 Ph: (413) 588-8419 |
| NPI Number | 1902690548 |
|---|---|
| Provider Enumeration Date | 04/08/2025 |
| Last Update Date | 04/08/2025 |
| Certification Date | 04/08/2025 |
| Medicare PECOS PAC ID | 1153832654 |
|---|---|
| Medicare Enrollment ID | O20250612002188 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902690548 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Michael A Fearing |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1265673933 PECOS PAC ID: 8224188321 Enrollment ID: I20250612002271 |
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