| Phil Heller, Psy.d., P.a. | |
|
2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 | |
| (561) 994-4565 | |
| (561) 994-3552 |
| Full Name | Phil Heller, Psy.d., P.a. |
|---|---|
| Speciality | Psychologist |
| Location | 2200 Nw Corporate Blvd, Boca Raton, Florida |
| Authorized Official Name and Position | Phil Heller (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5619944565 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Phil Heller, Psy.d., P.a. 2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 Ph: (561) 994-4565 | Phil Heller, Psy.d., P.a. 2200 Nw Corporate Blvd Suite 110 Boca Raton FL 33431-7387 Ph: (561) 994-4565 |
| NPI Number | 1164727814 |
|---|---|
| Provider Enumeration Date | 01/11/2011 |
| Last Update Date | 01/11/2011 |
| Medicare PECOS PAC ID | 4981882826 |
|---|---|
| Medicare Enrollment ID | O20110624000300 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164727814 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY3822 (Florida) | Primary |
| Provider Name | Philip E Heller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1215024054 PECOS PAC ID: 9436337383 Enrollment ID: I20110624000313 |
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