| Abbe Polsyn Psyd Pa | |
|
123 Nw 13th St Ste 304-07 Boca Raton FL 33432-1641 | |
| (561) 421-6182 | |
| (561) 421-6183 |
| Full Name | Abbe Polsyn Psyd Pa |
|---|---|
| Speciality | Psychologist |
| Location | 123 Nw 13th St Ste 304-07, Boca Raton, Florida |
| Authorized Official Name and Position | Abbe Riva Polsyn (PRESIDENT OWNER) |
| Authorized Official Contact | 5614216182 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Abbe Polsyn Psyd Pa 123 Nw 13th St Ste 304-07 Boca Raton FL 33432-1641 Ph: (561) 421-6182 | Abbe Polsyn Psyd Pa 123 Nw 13th St Ste 304-07 Boca Raton FL 33432-1641 Ph: (561) 421-6182 |
| NPI Number | 1639202641 |
|---|---|
| Provider Enumeration Date | 03/13/2007 |
| Last Update Date | 05/06/2021 |
| Certification Date | 05/06/2021 |
| Medicare PECOS PAC ID | 9537106125 |
|---|---|
| Medicare Enrollment ID | O20050414001017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639202641 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | PY5744 (Florida) | Primary |
| Provider Name | Abbe R Polsyn |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1861662694 PECOS PAC ID: 8325085921 Enrollment ID: I20050415000329 |
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