| The Center For Psychological Freedom Pa | |
|
2929 N University Drive Suite 105 Coral Springs FL 33065-5047 | |
| (954) 434-1886 | |
| (954) 699-0337 |
| Full Name | The Center For Psychological Freedom Pa |
|---|---|
| Speciality | Psychologist |
| Location | 2929 N University Drive, Coral Springs, Florida |
| Authorized Official Name and Position | Seth Grossman (PRESIDENT) |
| Authorized Official Contact | 9544341886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Center For Psychological Freedom Pa 2929 N. University Dr Suite 105 Coral Springs FL 33065-5047 Ph: (954) 434-1886 | The Center For Psychological Freedom Pa 2929 N University Drive Suite 105 Coral Springs FL 33065-5047 Ph: (954) 434-1886 |
| NPI Number | 1699074757 |
|---|---|
| Provider Enumeration Date | 03/15/2011 |
| Last Update Date | 05/06/2022 |
| Certification Date | 05/06/2022 |
| Medicare PECOS PAC ID | 3072772003 |
|---|---|
| Medicare Enrollment ID | O20120312000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699074757 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | PY 7340 (Florida) | Primary |
| Provider Name | Seth Grossman |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285750083 PECOS PAC ID: 6800968447 Enrollment ID: I20080626000514 |
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