| Richard E. Nay Phd Inc | |
|
2970 Hartley Rd Ste 201 Jacksonville FL 32257-6245 | |
| (904) 886-4998 | |
| (904) 292-1094 |
| Full Name | Richard E. Nay Phd Inc |
|---|---|
| Speciality | Psychologist |
| Location | 2970 Hartley Rd, Jacksonville, Florida |
| Authorized Official Name and Position | Richard E Nay (OWNER/PSYCHOLOGIST) |
| Authorized Official Contact | 9048864998 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E. Nay Phd Inc Po Box 23040 Jacksonville FL 32241-3040 Ph: (904) 886-4998 | Richard E. Nay Phd Inc 2970 Hartley Rd Ste 201 Jacksonville FL 32257-6245 Ph: (904) 886-4998 |
| NPI Number | 1770830994 |
|---|---|
| Provider Enumeration Date | 08/07/2012 |
| Last Update Date | 11/18/2013 |
| Medicare PECOS PAC ID | 5395738819 |
|---|---|
| Medicare Enrollment ID | O20040408000239 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770830994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY4562 (Florida) | Primary |
| Provider Name | Richard E Nay |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1295725034 PECOS PAC ID: 2668465105 Enrollment ID: I20161018000456 |
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