| New Objectives Psychology, Counseling & Neurofeedback Center | |
|
620 Crown Oak Centre Dr Longwood FL 32750-6188 | |
| (407) 339-1159 | |
| (407) 339-2405 |
| Full Name | New Objectives Psychology, Counseling & Neurofeedback Center |
|---|---|
| Speciality | Psychologist |
| Location | 620 Crown Oak Centre Dr, Longwood, Florida |
| Authorized Official Name and Position | Sharon R. Thetford (OWNER) |
| Authorized Official Contact | 4073391159 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Objectives Psychology, Counseling & Neurofeedback Center 620 Crown Oak Centre Dr Longwood FL 32750-6188 Ph: (407) 339-1159 | New Objectives Psychology, Counseling & Neurofeedback Center 620 Crown Oak Centre Dr Longwood FL 32750-6188 Ph: (407) 339-1159 |
| NPI Number | 1740489368 |
|---|---|
| Provider Enumeration Date | 07/13/2007 |
| Last Update Date | 03/15/2024 |
| Certification Date | 03/15/2024 |
| Medicare PECOS PAC ID | 5395971147 |
|---|---|
| Medicare Enrollment ID | O20131126001613 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740489368 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Sharon R Thetford |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1952441560 PECOS PAC ID: 6204062052 Enrollment ID: I20200721001655 |
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