| Dr Susan Lynn Moschos, PHD | |
|
3501 Health Center Blvd Ste 2190, Estero, FL 34135-8133 | |
| (239) 468-0300 | |
| (239) 343-4257 |
| Full Name | Dr Susan Lynn Moschos |
|---|---|
| Gender | Female |
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 3501 Health Center Blvd Ste 2190, Estero, Florida |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780053223 | NPI | - | NPPES |
| 116060600 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 4541 (North Carolina) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY10528 (Florida) | Primary |
| Entity Name | Lecci Psychological Services, Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1811976426 PECOS PAC ID: 3476566324 Enrollment ID: O20081103000052 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Susan Lynn Moschos, PHD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 468-0300 | Dr Susan Lynn Moschos, PHD 3501 Health Center Blvd Ste 2190, Estero, FL 34135-8133 Ph: (239) 468-0300 |
Eileen Lyons, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9180 Estero Park Commons Blvd, Unit 2, Estero, FL 33928 Phone: 239-898-2021 | |
Dr. Susan R. King, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3501 Health Center Blvd, Estero, FL 34135 Phone: 239-468-0300 Fax: 239-343-4257 | |
Mr. Daniel Jay Frank, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5051 Indigo Bay Blvd, 102, Estero, FL 33928 Phone: 914-815-5775 | |
Dr. Raquel Sabater, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3501 Health Center Blvd Ste 2190, Estero, FL 34135 Phone: 239-343-6050 | |
Miss Diana Josefina Chavez, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 23450 Via Coconut Pt, Estero, FL 34135 Phone: 239-468-0150 Fax: 239-343-4056 | |
Dr. Joseph William Bascuas, PH.D PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 20111 Cheetah Ln, Estero, FL 33928 Phone: 239-444-6995 | |
Gesenia S Sloan-pena, MA Psychologist Medicare: Accepting Medicare Assignments Practice Location: 20301 Grande Oak Shoppes Blvd # 118-58, Estero, FL 33928 Phone: 954-803-9002 |