Dr Cecilia Theresa Deidan, PHD is a
Clinical Neuropsychologist based in Pembroke Pines, Florida. Dr Cecilia Theresa Deidan is licensed to practice in Florida (license number PY0004983) and her current practice location is
18459 Pines Blvd, #324, Pembroke Pines, Florida. She can be reached at her office (for appointments etc.) via phone at
(954) 266-8037.
NPI number for Dr Cecilia Theresa Deidan is 1396757506 and her current mailing address is 18459 Pines Blvd, #324, Pembroke Pines, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1396757506.
Healthcare Provider's Profile
Full Name | Dr Cecilia Theresa Deidan |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 18459 Pines Blvd, Pembroke Pines, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1396757506
- Provider Enumeration Date: 08/13/2006
- Last Update Date: 03/19/2021
Medical Identifiers
Medical identifiers for Dr Cecilia Theresa Deidan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396757506 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY0004983 (Florida) | Secondary |
103G00000X | Clinical Neuropsychologist | PY0004983 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Cecilia Theresa Deidan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Cecilia Theresa Deidan, PHD 18459 Pines Blvd, #324, Pembroke Pines, FL 33029-1400 Ph: (954) 266-8037 | Dr Cecilia Theresa Deidan, PHD 18459 Pines Blvd, #324, Pembroke Pines, FL 33029-1400 Ph: (954) 266-8037 |
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