| Neuropsychology & Counseling Services Pa | |
|
101 E Maud St Tavares FL 32778-3249 | |
| (352) 253-9348 | |
| (352) 253-9351 |
| Full Name | Neuropsychology & Counseling Services Pa |
|---|---|
| Speciality | Psychologist |
| Location | 101 E Maud St, Tavares, Florida |
| Authorized Official Name and Position | Karen K Estill (OWNER) |
| Authorized Official Contact | 3522539348 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuropsychology & Counseling Services Pa 101 E Maud St Tavares FL 32778-3249 Ph: (352) 253-9348 | Neuropsychology & Counseling Services Pa 101 E Maud St Tavares FL 32778-3249 Ph: (352) 253-9348 |
| NPI Number | 1588860670 |
|---|---|
| Provider Enumeration Date | 06/25/2007 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 0042396889 |
|---|---|
| Medicare Enrollment ID | O20080319000564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588860670 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | PY3993 (Florida) | Secondary |
| 103T00000X | Psychologist | PY3993 (Florida) | Primary |
| Provider Name | Karen K Estill |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043249998 PECOS PAC ID: 6103902903 Enrollment ID: I20080319000337 |
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