| Tania Koolik, Phd, Pa | |
|
16244 S Military Trl 460 Delray Beach FL 33484-6534 | |
| (561) 666-8591 | |
| Not Available |
| Full Name | Tania Koolik, Phd, Pa |
|---|---|
| Speciality | Psychologist |
| Location | 16244 S Military Trl, Delray Beach, Florida |
| Authorized Official Name and Position | Tania Koolik (PRESIDENT) |
| Authorized Official Contact | 5618835959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tania Koolik, Phd, Pa 7900 Glades Rd 320 Boca Raton FL 33434-4167 Ph: (561) 883-5959 | Tania Koolik, Phd, Pa 16244 S Military Trl 460 Delray Beach FL 33484-6534 Ph: (561) 666-8591 |
| NPI Number | 1366701120 |
|---|---|
| Provider Enumeration Date | 05/14/2012 |
| Last Update Date | 05/14/2012 |
| Medicare PECOS PAC ID | 1052576717 |
|---|---|
| Medicare Enrollment ID | O20120702000073 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366701120 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY5478 (Florida) | Primary |
| Provider Name | Tania Koolik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1871813667 PECOS PAC ID: 3779776612 Enrollment ID: I20101022001201 |
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