| Rose Zayco, Psy.d. Inc. | |
|
2523 Herschel St Jacksonville FL 32204 | |
| (904) 351-8136 | |
| (888) 972-6788 |
| Full Name | Rose Zayco, Psy.d. Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 2523 Herschel St, Jacksonville, Florida |
| Authorized Official Name and Position | Rose Zayco (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 9043518136 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rose Zayco, Psy.d. Inc. 2523 Herschel St Jacksonville FL 32204-4509 Ph: (904) 351-8136 | Rose Zayco, Psy.d. Inc. 2523 Herschel St Jacksonville FL 32204 Ph: (904) 351-8136 |
| NPI Number | 1982911780 |
|---|---|
| Provider Enumeration Date | 09/01/2010 |
| Last Update Date | 01/05/2022 |
| Certification Date | 01/05/2022 |
| Medicare PECOS PAC ID | 3779776562 |
|---|---|
| Medicare Enrollment ID | O20101025001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982911780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY 8136 (Florida) | Primary |
| Provider Name | Rose Zayco |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1649585720 PECOS PAC ID: 6305039199 Enrollment ID: I20101025001356 |
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