Whole Again Neuropsychology Center Inc | |
14601 Hotel Road Suite 101b Miramar FL 33027 | |
(954) 933-8299 | |
Not Available |
Full Name | Whole Again Neuropsychology Center Inc |
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Speciality | Clinical Neuropsychologist |
Location | 14601 Hotel Road, Miramar, Florida |
Authorized Official Name and Position | Jessica Rivera (PRESIDENET) |
Authorized Official Contact | 3054952130 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Whole Again Neuropsychology Center Inc 14601 Sw 29th St Ste 101b Miramar FL 33027-4714 Ph: (954) 933-8299 | Whole Again Neuropsychology Center Inc 14601 Hotel Road Suite 101b Miramar FL 33027 Ph: (954) 933-8299 |
NPI Number | 1265709521 |
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Provider Enumeration Date | 11/30/2011 |
Last Update Date | 11/19/2019 |
Medicare PECOS PAC ID | 3173798030 |
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Medicare Enrollment ID | O20111206000014 |
Identifier | Type | State | Issuer |
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1265709521 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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103G00000X | Clinical Neuropsychologist | PY8359 (Florida) | Primary |
Provider Name | Jessica E Rivera |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1114207644 PECOS PAC ID: 3072788934 Enrollment ID: I20120104000296 |
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