Access Counseling And Assessment Pa | |
1970 Michigan Ave Bldg C-1 Cocoa FL 32922-5758 | |
(321) 209-1871 | |
Not Available |
Full Name | Access Counseling And Assessment Pa |
---|---|
Speciality | Psychologist |
Location | 1970 Michigan Ave Bldg C-1, Cocoa, Florida |
Authorized Official Name and Position | Susan Sullivan (PRESIDENT/DIRECTOR) |
Authorized Official Contact | 7723491871 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Access Counseling And Assessment Pa 801 Se Johnson Ave Unit 138 Stuart FL 34995-5133 Ph: (772) 349-1871 | Access Counseling And Assessment Pa 1970 Michigan Ave Bldg C-1 Cocoa FL 32922-5758 Ph: (321) 209-1871 |
NPI Number | 1790024321 |
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Provider Enumeration Date | 02/01/2013 |
Last Update Date | 02/01/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790024321 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | P12000055618 (Florida) | Primary |
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