| Neuropsychological Evaluation And Treatment Services | |
|
15131 Ogden Loop # 104 Odessa FL 33556-4633 | |
| (813) 820-0677 | |
| (813) 820-0677 |
| Full Name | Neuropsychological Evaluation And Treatment Services |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 15131 Ogden Loop # 104, Odessa, Florida |
| Authorized Official Name and Position | Tahirin Artreches (OWNER) |
| Authorized Official Contact | 7876425959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychological Evaluation And Treatment Services Po Box 10122 Tampa FL 33679-0122 Ph: (813) 820-0677 | Neuropsychological Evaluation And Treatment Services 15131 Ogden Loop # 104 Odessa FL 33556-4633 Ph: (813) 820-0677 |
| NPI Number | 1124794987 |
|---|---|
| Provider Enumeration Date | 08/20/2021 |
| Last Update Date | 01/17/2024 |
| Certification Date | 01/17/2024 |
| Medicare PECOS PAC ID | 9234526229 |
|---|---|
| Medicare Enrollment ID | O20220421000502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124794987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Tahirin Artreches |
|---|---|
| Provider Type | Practitioner - Psychologist Billing Independently |
| Provider Identifiers | NPI Number: 1114334380 PECOS PAC ID: 0143617134 Enrollment ID: I20220421000574 |
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