| Vista Psychological Services, Pa | |
|
120 University Park Dr Suite 215 Winter Park FL 32792-4440 | |
| (407) 657-5800 | |
| (407) 657-4269 |
| Full Name | Vista Psychological Services, Pa |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 120 University Park Dr, Winter Park, Florida |
| Authorized Official Name and Position | Catherine W Gibson (V PRES) |
| Authorized Official Contact | 4076575800 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vista Psychological Services, Pa Po Box 4728 Winter Park FL 32793-4728 Ph: (407) 657-5800 | Vista Psychological Services, Pa 120 University Park Dr Suite 215 Winter Park FL 32792-4440 Ph: (407) 657-5800 |
| NPI Number | 1013073980 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013073980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH1561 (Florida) | Primary |
| 101YM0800X | Counselor - Mental Health | MH3101 (Florida) | Secondary |
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